Organization
EAST LYME ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK FRED ENGEL DMD (MEMBER AND OWNER)
(860) 739-3133
Entity
Organization
Contact information
Practice address
314 FLANDERS RD, SUITE 1B, EAST LYME, CT 06333-1727
(860) 739-3133
(860) 739-3131
Mailing address
314 FLANDERS RD, SUITE 1B, EAST LYME, CT 06333-1727
(860) 739-3133
(860) 739-3131
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
007384
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659376507
NPI FOR DR. KIRK ENGEL
CT
Enumeration date
11/08/2006
Last updated
08/25/2007
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