NPI 1902904378
Oral and Maxillofacial Surgeons PC
Practice location
- Address
- 80 South Main Street, Middletown, CT 06457
- Phone
- (860) 347-6939
- Fax
- (860) 347-7993
- Mailing address
- 20 West Avon Road Avon Professional Center, Avon, CT 06001
Authorised official
- Name
- Arthur L Sperling
- Title
- President
- Phone
- (860) 347-6939
Registered specialties
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Registry record
- NPI
- 1902904378
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.