OrganizationActive
Connecticut Maxillofacial Surgeons, LLC
NPI 1285651133 · Oral and Maxillofacial Surgery (Dentist) · Farmington, CT
Provider details
- NPI number
- 1285651133
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Schantal Thielke, Billing & Insurance Manager(860) 678-7528
Specialties & taxonomies
Dental Providers
Practice location
291 Farmington Ave
Farmington, CT 06032-1925
Phone: (860) 678-7528
Fax: (860) 678-7933
Approximate (ZIP-level) locationGet directions
Mailing address
291 Farmington Ave
Farmington, CT 06032-1925
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.