Organization
PEAK DENTAL IMPLANTS & ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HERITAGE (CREDENTIALING MANAGER)
(402) 805-4516
Entity
Organization
Contact information
Practice address
360 BLOOMFIELD AVE STE 405, WINDSOR, CT 06095-2700
(402) 805-4516
Mailing address
360 BLOOMFIELD AVE STE 405, WINDSOR, CT 06095-2700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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