Organization
CONNECTICUT ORAL SURGERY AND IMPLANT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH MATTON MD, DMD (SURGEON/ OWNER)
(860) 578-0436
Entity
Organization
Contact information
Practice address
314 FLANDERS RD STE 1B, EAST LYME, CT 06333-1727
(860) 739-3133
Mailing address
66 WILDCAT SPRINGS DR, MADISON, CT 06443-2484
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609165521
—
CT
Enumeration date
01/14/2020
Last updated
01/14/2020
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