# UCONN HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** School of Dental Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770572588
- **Authorized official:** DR. ALAN G. LURIE DDS (PROFESSOR)
- **Authorized official phone:** (860) 679-2453

## Contact information

- **Practice address:** 263 FARMINGTON AVE, ORAL AND MAXILLOFACIAL RADIOLOGY MC 2110, FARMINGTON, CT 06030-0001
- **Practice address phone:** (860) 679-2453
- **Practice address fax:** (860) 679-2756
- **Mailing address:** 263 FARMINGTON AVE, ORAL AND MAXILLOFACIAL RADIOLOGY MC 2110, FARMINGTON, CT 06030-0001
- **Mailing address phone:** (860) 679-2453
- **Mailing address fax:** (860) 679-2756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | 004751 | CT | Yes |

## Other

- **Enumeration date:** 10/14/2005
- **Last updated:** 08/22/2020