Organization
SOUTHINGTON ORAL & MAXILLOFACIAL SURGEONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M SHEINTOP D.M.D. (PRESIDENT)
(860) 276-0225
Entity
Organization
Contact information
Practice address
256 N MAIN ST, SOUTHINGTON, CT 06489-2524
(860) 276-0225
(860) 276-0368
Mailing address
256 N MAIN ST, SOUTHINGTON, CT 06489-2524
(860) 276-0225
(860) 276-0368
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7302
CT
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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