# CONNECTICUT ORAL SURGERY AND IMPLANT CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053951350
- **Authorized official:** DR. SETH MATTON MD, DMD (SURGEON/ OWNER)
- **Authorized official phone:** (860) 578-0436

## Contact information

- **Practice address:** 314 FLANDERS RD STE 1B, EAST LYME, CT 06333-1727
- **Practice address phone:** (860) 739-3133
- **Mailing address:** 66 WILDCAT SPRINGS DR, MADISON, CT 06443-2484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2020
- **Last updated:** 01/14/2020