Organization
CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R HOWARD D.D.S., M.D. (ORAL SURGEON)
(860) 586-8507
Entity
Organization
Contact information
Practice address
836 FARMINGTON AVE, SUITE 223, WEST HARTFORD, CT 06119-1505
(860) 586-8507
(860) 586-8697
Mailing address
836 FARMINGTON AVE, SUITE 223, WEST HARTFORD, CT 06119-1505
(860) 586-8507
(860) 586-8697
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001740
—
CT
Enumeration date
04/12/2012
Last updated
02/18/2014
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