# UNIVERSITY DENTISTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881183721
- **Authorized official:** ELLIE ATKINS (CREDENTIALING CONTACT)
- **Authorized official phone:** (860) 679-2207

## Contact information

- **Practice address:** 263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
- **Practice address phone:** (860) 679-8156
- **Practice address fax:** (860) 679-1159
- **Mailing address:** 263 FARMINGTON AVE, FARMINGTON, CT 06030-3905
- **Mailing address phone:** (860) 679-2207
- **Mailing address fax:** (860) 679-1899

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2018
- **Last updated:** 05/08/2026
