# CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1417328162
- **Authorized official:** CANDY EBBIGHAUSEN (ADMINISTRATOR)
- **Authorized official phone:** (603) 357-3709

## Contact information

- **Practice address:** 272 MAIN ST, KEENE, NH 03431-4122
- **Practice address phone:** (603) 357-3709
- **Practice address fax:** (603) 352-5722
- **Mailing address:** 272 MAIN ST, KEENE, NH 03431-4122
- **Mailing address phone:** (603) 357-3709
- **Mailing address fax:** (603) 352-5722

## 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:** 10/07/2015
- **Last updated:** 12/15/2022