EAST LYME ORAL AND MAXILLOFACIAL SURGERY
NPI 1205906369
Dentist - Oral and Maxillofacial Surgery in East Lyme, CT

Active since November 08, 2006
314 FLANDERS RD, SUITE 1B, EAST LYME, CT 06333(860) 739-3133(860) 739-3131 Get Directions Write a Review

NPPES record last updated: August 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Lyme Oral And Maxillofacial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST LYME ORAL AND MAXILLOFACIAL SURGERY (NPI 1205906369) is a healthcare organization registered as an oral and maxillofacial surgery in East Lyme, Connecticut and active in the NPI registry since November 2006. The organization lists Kirk Fred Engel, Member And Owner, as its authorized official.

NPPES Registry Identity

NPI1205906369
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEAST LYME ORAL AND MAXILLOFACIAL SURGERY
Location Address314 FLANDERS RD, SUITE 1BEast Lyme, CT 06333-1727
Mailing Address314 Flanders Rd, Suite 1bEast Lyme, CT 06333-1727 · (860) 739-3133 · Fax (860) 739-3131
Fax(860) 739-3131
Organization SubpartNo
Authorized OfficialKirk Fred EngelMember And Owner · (860) 739-3133
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 25, 2007
NPI 1205906369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CT · 007384
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
314 FLANDERS RD, East Lyme, CT 06333

Other Identifiers 1

Other1659376507CT · Npi For Dr. Kirk Engel

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
314 FLANDERS RD
EAST LYME, CT 06333
Counselor (Addiction (Substance Use Disorder))
314 FLANDERS RD, SUITE 2 B
EAST LYME, CT 06333
Social Worker (Clinical)
314 FLANDERS RD
EAST LYME, CT 06333
Dentist (Oral and Maxillofacial Surgery)
314 FLANDERS RD
EAST LYME, CT 06333
Dentist (Oral and Maxillofacial Surgery)
314 FLANDERS RD, STE 1B
EAST LYME, CT 06333
Chiropractor
314 FLANDERS RD
EAST LYME, CT 06333
Optometrist
314 FLANDERS RD, SUITE 2C
EAST LYME, CT 06333
Social Worker (Clinical)
314 FLANDERS RD
EAST LYME, CT 06333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Lyme Oral And Maxillofacial Surgery's NPI number?

The NPI number for East Lyme Oral And Maxillofacial Surgery is 1205906369. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is East Lyme Oral And Maxillofacial Surgery located?

East Lyme Oral And Maxillofacial Surgery is located at 314 Flanders Rd Suite 1B, East Lyme, CT 06333. The listed phone number is (860) 739-3133.

What is East Lyme Oral And Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for East Lyme Oral And Maxillofacial Surgery was last updated on August 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.