CONNECTICUT MAXILLOFACIAL SURGEONS, LLC
NPI 1285651133
Dentist - Oral and Maxillofacial Surgery in Farmington, CT

Active since July 16, 2006
291 FARMINGTON AVE, FARMINGTON, CT 06032(860) 678-7528(860) 678-7933 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Connecticut Maxillofacial Surgeons, Llc NPPES

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

CONNECTICUT MAXILLOFACIAL SURGEONS, LLC (NPI 1285651133) is a healthcare organization registered as an oral and maxillofacial surgery in Farmington, Connecticut and active in the NPI registry since July 2006. The organization lists Schantal Mary Thielke, Billing & Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1285651133
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCONNECTICUT MAXILLOFACIAL SURGEONS, LLC
Location Address291 FARMINGTON AVEFarmington, CT 06032-1925
Mailing Address291 Farmington AveFarmington, CT 06032-1925 · (860) 678-7528 · Fax (860) 678-7933
Fax(860) 678-7933
Organization SubpartNo
Authorized OfficialSchantal Mary ThielkeBilling & Insurance Manager · (860) 678-7528
Enumeration DateJuly 16, 2006
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1285651133 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.

291 FARMINGTON AVE, Farmington, CT 06032

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 17

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

Dentist
291 FARMINGTON AVE
FARMINGTON, CT 06032
Dentist (Periodontics)
291 FARMINGTON AVE
FARMINGTON, CT 06032
Dentist
291 FARMINGTON AVE
FARMINGTON, CT 06032
Dentist
291 FARMINGTON AVE
FARMINGTON, CT 06032
Dentist (General Practice)
291 FARMINGTON AVE
FARMINGTON, CT 06032
Dentist (Oral and Maxillofacial Surgery)
291 FARMINGTON AVE
FARMINGTON, CT 06032
Dentist (Periodontics)
291 FARMINGTON AVE
FARMINGTON, CT 06032
Dentist (Pediatric Dentistry)
291 FARMINGTON AVE
FARMINGTON, CT 06032

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 Connecticut Maxillofacial Surgeons, LLC's NPI number?

The NPI number for Connecticut Maxillofacial Surgeons, LLC is 1285651133. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Connecticut Maxillofacial Surgeons, LLC located?

Connecticut Maxillofacial Surgeons, LLC is located at 291 Farmington Ave, Farmington, CT 06032. The listed phone number is (860) 678-7528.

What is Connecticut Maxillofacial Surgeons, LLC'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 Connecticut Maxillofacial Surgeons, LLC was last updated on July 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.