Organization
NORTHEAST IMPLANT & ORAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MCCARLEY (INSURANCE COORDINATOR/CREDENTIALING)
(203) 628-4450
Entity
Organization
Contact information
Practice address
27 HOSPITAL AVE STE 306, DANBURY, CT 06810-5961
(203) 797-0008
(203) 743-7822
Mailing address
27 HOSPITAL AVE STE 306, DANBURY, CT 06810-5961
(203) 628-4450
(203) 628-2350
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
05/12/2023
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