# CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1083818710
- **Authorized official:** MICHAELA MUNIZ (VP, PAYOR RELATIONS)
- **Authorized official phone:** (469) 324-3242

## Contact information

- **Practice address:** 546 S BROAD ST STE 2A, MERIDEN, CT 06450-6601
- **Practice address phone:** (203) 639-0800
- **Mailing address:** 546 S BROAD ST STE 2A, MERIDEN, CT 06450-6601
- **Mailing address phone:** (203) 639-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7026 | CT | Yes |
| 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