NORWICH ORAL & MAXILLOFACIAL SURGEONS, PC
NPI 1215123807
Dentist - Oral and Maxillofacial Surgery in Norwich, CT

Active since September 18, 2007
130 NEW LONDON TPKE, NORWICH, CT 06360(860) 886-0651(860) 823-1577 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Norwich Oral & Maxillofacial Surgeons, Pc NPPES

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

NORWICH ORAL & MAXILLOFACIAL SURGEONS, PC (NPI 1215123807) is a healthcare organization registered as an oral and maxillofacial surgery in Norwich, Connecticut and active in the NPI registry since September 2007. The organization lists Teresa Keeney, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215123807
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNORWICH ORAL & MAXILLOFACIAL SURGEONS, PC
Location Address130 NEW LONDON TPKENorwich, CT 06360-2624
Mailing Address130 New London TpkeNorwich, CT 06360-2624 · (860) 886-0651 · Fax (860) 823-1577
Fax(860) 823-1577
Organization SubpartNo
Authorized OfficialTeresa KeeneyOffice Manager · (860) 886-0651
Enumeration DateSeptember 18, 2007
Last NPPES UpdateNovember 10, 2011
NPI 1215123807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.

130 NEW LONDON TPKE, Norwich, CT 06360

Other Identifiers 2

Medicare PINC01329CT
Medicaid004083333CT

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 5

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

Dentist (Oral and Maxillofacial Pathology)
130 NEW LONDON TPKE
NORWICH, CT 06360
Dentist (Periodontics)
130 NEW LONDON TPKE
NORWICH, CT 06360
Dentist (Oral and Maxillofacial Surgery)
130 NEW LONDON TPKE
NORWICH, CT 06360
Internal Medicine (Cardiovascular Disease)
130 NEW LONDON TPKE
NORWICH, CT 06360
Internal Medicine (Cardiovascular Disease)
130 NEW LONDON TPKE
NORWICH, CT 06360

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 Norwich Oral & Maxillofacial Surgeons, PC's NPI number?

The NPI number for Norwich Oral & Maxillofacial Surgeons, PC is 1215123807. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Norwich Oral & Maxillofacial Surgeons, PC located?

Norwich Oral & Maxillofacial Surgeons, PC is located at 130 New London Tpke, Norwich, CT 06360. The listed phone number is (860) 886-0651.

What is Norwich Oral & Maxillofacial Surgeons, PC'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 Norwich Oral & Maxillofacial Surgeons, PC was last updated on November 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.