# WEST HARTFORD ORAL AND IMPLANT SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Hartford Implant Denitistry, Oral and Facial Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811387863
- **Authorized official:** LISA HARRISON (BUSINESS MANAGER)
- **Authorized official phone:** (860) 646-2272

## Contact information

- **Practice address:** 483 MIDDLE TPKE W, MANCHESTER, CT 06040-3863
- **Practice address phone:** (860) 649-2272
- **Practice address fax:** (860) 533-1010
- **Mailing address:** 483 MIDDLE TURNPIKE WEST, SUITE 102, MANCHESTER, CT 06040-3864
- **Mailing address phone:** (860) 232-4606
- **Mailing address fax:** (860) 233-8359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | 009050 | CT | — |

## Other

- **Enumeration date:** 01/29/2015
- **Last updated:** 09/04/2025