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.
Organization
CENTRAL CONNECTICUT OROFACIAL SLEEP MEDICINE INC
Active
Organization
CENTRAL CONNECTICUT OROFACIAL SLEEP MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL FONTAINE (BUSINESS MANAGER)
(860) 430-5687
Entity
Organization
Contact information
Practice address
55 NYE RD STE 101, GLASTONBURY, CT 06033-1281
(860) 430-5687
Mailing address
55 NYE RD STE 101, GLASTONBURY, CT 06033-1281
(860) 430-5687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
NULL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
NULL
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers