New Haven Implant and Oral Surgery, LLC
NPI #1992109656 in New Haven, Connecticut
Provider Information
- NPI Number
- 1992109656
- Entity Type
- Organization
- Organization Name
- New Haven Implant and Oral Surgery, LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 9, 2014
- Last Updated
- Oct 22, 2014
Practice Location
- Address
- 1423 CHAPEL ST
- Address 2
- UNIT 3C
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06511-4411
- Phone
- (203) 787-6581
Authorized Official
- Name
- DR. JORDAN GREENBERG, D.D.S.
- Title
- MEMBER/PRESIDENT
- Phone
- (914) 355-0840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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