# SOUTHINGTON ORAL & MAXILLOFACIAL SURGEONS, PC

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

## Provider details

- **NPI number:** 1457731135
- **Authorized official:** DR. DAVID M SHEINTOP D.M.D. (PRESIDENT)
- **Authorized official phone:** (860) 276-0225

## Contact information

- **Practice address:** 256 N MAIN ST, SOUTHINGTON, CT 06489-2524
- **Practice address phone:** (860) 276-0225
- **Practice address fax:** (860) 276-0368
- **Mailing address:** 256 N MAIN ST, SOUTHINGTON, CT 06489-2524
- **Mailing address phone:** (860) 276-0225
- **Mailing address fax:** (860) 276-0368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7302 | CT | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 06/08/2015