OrganizationActive
Coventry Oral and Implant Surgery PLLC
NPI 1811686322 · Oral and Maxillofacial Surgery (Dentist) · Coventry, CT
Provider details
- NPI number
- 1811686322
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Ryaz Ansari, Owner(860) 649-2272
Specialties & taxonomies
Dental Providers
Practice location
1572 Boston Tpke
Coventry, CT 06238-1205
Phone: (860) 649-2272
Approximate (ZIP-level) locationGet directions
Mailing address
483 Middle Tpke W Ste 102
Manchester, CT 06040-3864
Registry dates
- Enumerated
- 2023-05-02
- Last updated
- 2023-05-02
- Certified
- 2023-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.