Organization
NEW: GLASTONBURY ORAL AND IMPLANT SURGERY PLLC
Active
Other names
Glastonbury Implant Dentistry, Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAZ ANSARI D.D.S. (OWNER/OMS)
(860) 649-0227
Entity
Organization
Contact information
Practice address
131 NEW LONDON TURNPIKE, GLASTONBURY, CT 06033-7042
(860) 659-2623
Mailing address
483 MIDDLE TPKE W STE 102, MANCHESTER, CT 06040-3864
(860) 649-2272
(860) 533-1010
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
06/16/2025
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