# UNIVERSITY OF CONNECTICUT HEALTH CENTER

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

## Provider details

- **NPI number:** 1346651015
- **Authorized official:** MISS KIM GIOVE (ADMINISTRATIVE PROGRAM COORDINATOR)
- **Authorized official phone:** (860) 679-3004

## Contact information

- **Practice address:** 263 FARMINGTON AVE, FARMINGTON, CT 06030-1720
- **Practice address phone:** (860) 679-3004
- **Mailing address:** 837 VENETIAN BLVD, LINDENHURST, NY 11757-6327
- **Mailing address phone:** (631) 902-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 05/15/2014
- **Last updated:** 05/15/2014