# HARTFORD COUNTY ORAL MAXILLOFACIAL & IMPLANT SURGERY PC

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

## Provider details

- **NPI number:** 1821339086
- **Authorized official:** DR. EAN JAMES D.M.D., M.D (PRESIDENT)
- **Authorized official phone:** (856) 361-6703

## Contact information

- **Practice address:** 259 FARMINGTON AVE, SUITE 1, BRISTOL, CT 06010-3969
- **Practice address phone:** (860) 583-6549
- **Practice address fax:** (860) 582-1547
- **Mailing address:** 259 FARMINGTON AVE, SUITE 1, BRISTOL, CT 06010-3969
- **Mailing address phone:** (860) 583-6549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 10729 | CT | Yes |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 03/12/2013