OrganizationActive
Connecticut Center for Oral Facial and Implant Surgery PC
NPI 1053782060 · Oral and Maxillofacial Surgery Clinic/Center · West Hartford, CT
Provider details
- NPI number
- 1053782060
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Gady, President(860) 231-1030
- License
- 011331 (CT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
80 S Main St
West Hartford, CT 06107-2408
Phone: (860) 231-1030
Fax: (860) 231-1032
Approximate (ZIP-level) locationGet directions
Mailing address
80 S Main St
West Hartford, CT 06107-2408
Registry dates
- Enumerated
- 2015-10-16
- Last updated
- 2022-10-17
- Certified
- 2022-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.