CONNECTICUT SURGICAL ARTS, LLC (NPI# 1730506700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730506700 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT SURGICAL ARTS, LLC |
| Practice Address |
159 Sachem St Norwich CT 06360-4144 |
| Practice Telephone | 8608850444 |
| Practice Fax Number | 8608850816 |
| Mailing Telephone | 8608850444 |
| Mailing Fax Number | 8608850816 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | RICHARD J. MARTIN (DIRECTOR) |
| Authorized Official Telephone | 8608850444 |
| Authorized Official Credential | M.D., D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
Allopathic & Osteopathic Physicians | ||
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CONNECTICUT SURGICAL ARTS, LLC | 159 Sachem St., Norwich, CT 06360 |
| Street Address |
159 SACHEM ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-4144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133446 | Richard J Martin | Oral & Maxillofacial Surgery | 159 Sachem St, Norwich, CT 06360-4144 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133446 | Richard J Martin | Oral & Maxillofacial Surgery | 159 Sachem St, Norwich, CT 06360-4144 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730411372 | Robert A Rossetti | Oral & Maxillofacial Surgery | 76 Palomba Drive, Enfield, CT 06082 | 2010-02-08 |
| 1992916787 | Associated Oral and Maxillofacial Surgeons | Oral & Maxillofacial Surgery | 107 Newtown Rd., Suite 1a, Danbury, CT 06810 | 2007-05-24 |
| 1699890723 | Philip Flemming Pacelli IIi | Oral & Maxillofacial Surgery | 166 Cherry Street, Suite A, New Canaan, CT 06840 | 2007-03-20 |
| 1497838056 | Steven Reiner | Oral & Maxillofacial Surgery | 80 S Main Street, Middletown, CT 06457 | 2006-10-24 |
| 1982616074 | Louis Vincent Theodos | Oral & Maxillofacial Surgery | 52 Federal Rd Ste 2a, Danbury, CT 06810-6162 | 2006-08-13 |
| 1326062738 | Roger A Lowlicht | Oral & Maxillofacial Surgery | 185 Maple Ave, North Haven, CT 06473 | 2006-07-27 |
| 1447202593 | Robert A Rossetti Dmd Md PC | Oral & Maxillofacial Surgery | 76 Palamba Drive, Enfield, CT 06082 | 2006-05-17 |
| 1629038062 | John R Kashmanian Dmd PC | Oral & Maxillofacial Surgery | 15 A Searles Rd, Pomfret Center, CT 06259 | 2006-03-27 |
| 1578540043 | Ralph Szilagyi | Oral & Maxillofacial Surgery | 25 Weston Rd, Westport, CT 06880 | 2005-12-27 |
| 1861762635 | Ronald B Herriott Dmd PC | Oral & Maxillofacial Surgery | 259 Farmington Ave, Bristol, CT 06010-3969 | 2012-01-10 |
| Find all providers with the same taxonomy | ||||
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| 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.