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Organization
CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC
Active
Organization
CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC
Active
Parent organization
CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC
Authorized official
MICHAELA MUNIZ (VP, PAYOR RELATIONS)
(469) 324-3242
Entity
Organization
Contact information
Practice address
10 HIGGINS HWY STE 10, MANSFIELD CENTER, CT 06250-1486
(860) 423-2587
Mailing address
10 HIGGINS HWY STE 10, MANSFIELD CENTER, CT 06250-1486
(860) 423-2587
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
09/14/2026
Last updated
09/14/2026
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