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Organization
CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC
Active
Organization
CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA MUNIZ (VP, PAYOR RELATIONS)
(469) 324-3242
Entity
Organization
Contact information
Practice address
546 S BROAD ST STE 2A, MERIDEN, CT 06450-6601
(203) 639-0800
Mailing address
546 S BROAD ST STE 2A, MERIDEN, CT 06450-6601
(203) 639-0800
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7026
CT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
06/14/2007
Last updated
09/14/2026
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