OrganizationActive
East Lyme Oral and Maxillofacial Surgery
NPI 1205906369 · Oral and Maxillofacial Surgery (Dentist) · East Lyme, CT
Provider details
- NPI number
- 1205906369
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Kirk Engel, Member and Owner(860) 739-3133
- License
- 007384 (CT)
Specialties & taxonomies
Dental Providers
Practice location
314 Flanders Rd
Suite 1b
East Lyme, CT 06333-1727
Phone: (860) 739-3133
Fax: (860) 739-3131
Approximate (ZIP-level) locationGet directions
Mailing address
314 Flanders Rd
East Lyme, CT 06333-1727
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2007-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.