# GM SURGICAL ASSOCIATES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912428160
- **Authorized official:** DR. BRYAN THOMAS MERIAM DDS (MEMBER)
- **Authorized official phone:** (917) 282-0647

## Contact information

- **Practice address:** 130 NEW LONDON TPKE STE 3, NORWICH, CT 06360-2624
- **Practice address phone:** (860) 886-0651
- **Mailing address:** 23 MEADOWBROOK RD, MADISON, CT 06443-2557
- **Mailing address phone:** (203) 787-6581

## 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:** 06/28/2017
- **Last updated:** 06/28/2017