GLASTONBURY IMPLANT DENTISTRY ORAL AND FACIAL SURGURY CENTER PC (NPI# 1407455538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407455538 |
| Entity Type | Organization |
| Organization Name | GLASTONBURY IMPLANT DENTISTRY ORAL AND FACIAL SURGURY CENTER PC |
| Practice Address |
131 New London Tpke Glastonbury CT 06033-2246 |
| Mailing Address |
483 Middle Tpke W Ste 102 Manchester CT 06040-3864 |
| Practice Telephone | 8606497374 |
| Mailing Telephone | 8606492272 |
| Mailing Fax Number | 8605331010 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | DR. RYAZ ANSARI (OWNER) |
| Authorized Official Telephone | 8606497374 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers |
| Street Address |
131 NEW LONDON TPKE |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485452 | Robert J Henin | Dentist | 131 New London Tpke, Ste 211, Glastonbury, CT 06033-2246 | 2005-05-27 |
| 1548802556 | Garnet F Czuchta | Social Worker | 131 New London Tpke, Glastonbury, CT 06033-2246 | 2019-10-10 |
| 1073003562 | Erin Egan | Social Worker | 131 New London Tpke, Ste 319, Glastonbury, CT 06033-2246 | 2018-05-10 |
| 1760868392 | Jason Harnett I | Physical Therapist | 131 New London Tpke, Glastonbury, CT 06033-2246 | 2015-08-05 |
| 1326434358 | Growing Well, LLC | Counselor | 131 New London Tpke, Suite 323, Glastonbury, CT 06033-2246 | 2015-04-07 |
| 1649508417 | Sally B Rosenberg | Dentist | 131 New London Tpke, Suite 201, Glastonbury, CT 06033-2246 | 2009-12-06 |
| 1740461730 | Glastonbury Family Medicine LLC | Family Medicine | 131 New London Tpke, Suite 322, Glastonbury, CT 06033-2246 | 2007-11-18 |
| 1356551865 | Dental Solutions of Glastonbury | Dentist | 131 New London Tpke, Suite 211, Glastonbury, CT 06033-2246 | 2007-05-23 |
| 1457405086 | Hartford Orthopaedic Plastic & Hand Surgeons, Inc. | Occupational Therapist | 131 New London Tpke, Suite 319, Glastonbury, CT 06033-2246 | 2007-01-22 |
| 1366528937 | Andrew W Fitzsimons | Chiropractor | 131 New London Tpke, Suite 103, Glastonbury, CT 06033-2246 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922294685 | O.m.s. Associates, P.C. | Dentist | 1 Torrington Plaza, Suite 103, Torrington, CT 06790 | 2007-09-17 |
| 1750301982 | Paul A Bocciarelli | Dentist | 506 Cromwell Ave., Suite 203, Rocky Hill, CT 06067 | 2006-07-20 |
| 1427083468 | Ronald B. Herriott | Dentist | 259 Farmington Ave, Bristol, CT 06010-3901 | 2006-07-11 |
| 1275527772 | Steven L Berke | Dentist | 130 New London Tpke, Norwich, CT 06360-2624 | 2005-09-12 |
| 1114312469 | Yale-new Haven Hospital | Dentist | 789 Howard Ave, Dana 2, New Haven, CT 06519-1304 | 2015-04-03 |
| 1669518932 | Kevin Sean Mclaughlin | Dentist | 148 East Ave, Suite 2f, Norwalk, CT 06851-5721 | 2007-01-30 |
| 1154344281 | Ross J Sanfilippo | Dentist | 4 Shaws Cv, Suite 203, New London, CT 06320-4956 | 2006-07-26 |
| 1164416699 | Donald A Amaro | Dentist | 130 New London Tpke, Norwich, CT 06360-2624 | 2005-09-12 |
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on GLASTONBURY IMPLANT DENTISTRY ORAL AND FACIAL SURGURY CENTER PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.