OrganizationActive
Avon Oral and Maxillofacial Surgery, LLP
NPI 1801013727 · Oral and Maxillofacial Surgery (Dentist) · Avon, CT
Provider details
- NPI number
- 1801013727
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Barbara Hinman, Office Manager(860) 674-8079
- License
- 008732 (CT)
Specialties & taxonomies
Dental Providers
Practice location
34 Dale Rd
Suite 105
Avon, CT 06001-3659
Phone: (860) 674-8079
Fax: (860) 676-8242
Approximate (ZIP-level) locationGet directions
Mailing address
34 Dale Rd
Avon, CT 06001-3659
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2021-02-08
- Certified
- 2021-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.