# AVON ORAL AND MAXILLOFACIAL SURGERY, LLP

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

## Provider details

- **NPI number:** 1801013727
- **Authorized official:** MS. BARBARA HINMAN (OFFICE MANAGER)
- **Authorized official phone:** (860) 674-8079

## Contact information

- **Practice address:** 34 DALE RD, SUITE 105, AVON, CT 06001-3659
- **Practice address phone:** (860) 674-8079
- **Practice address fax:** (860) 676-8242
- **Mailing address:** 34 DALE RD, SUITE 105, AVON, CT 06001-3659
- **Mailing address phone:** (860) 674-8079
- **Mailing address fax:** (860) 676-8242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 008732 | CT | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 02/08/2021