CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, P.C.
NPI 1417328162
Dentist - Oral and Maxillofacial Surgery in Keene, NH

Active since October 07, 2015
272 MAIN ST, KEENE, NH 03431(603) 357-3709(603) 352-5722 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Connecticut Valley Oral Surgery Associates, P.c. NPPES

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

CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, P.C. (NPI 1417328162) is a healthcare organization registered as an oral and maxillofacial surgery in Keene, New Hampshire and active in the NPI registry since October 2015. The organization lists Candy Ebbighausen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417328162
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, P.C.
Location Address272 MAIN STKeene, NH 03431-4122
Mailing Address272 Main StKeene, NH 03431-4122 · (603) 357-3709 · Fax (603) 352-5722
Fax(603) 352-5722
Organization SubpartNo
Authorized OfficialCandy EbbighausenAdministrator · (603) 357-3709
Enumeration DateOctober 7, 2015
Last NPPES UpdateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
✔ NPI 1417328162 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.
272 MAIN ST, Keene, NH 03431

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connecticut Valley Oral Surgery Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Connecticut Valley Oral Surgery Associates, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Maxillofacial Surgery
NPI 1174569099
272 MAIN ST
Keene, NH 03431
(603) 357-3709
✔ PECOSSame address
Maxillofacial Surgery
NPI 1699796318
285 HIGH STREET
Greenfield, MA 01301
(413) 774-2961
✔ PECOS✔ Accepts Medicare27 mi
Oral Surgery
NPI 1710964028
285 HIGH ST
Greenfield, MA 01301
(413) 774-2961
✔ PECOS✔ Accepts Medicare27 mi
Oral Surgery
NPI 1346580974
285 HIGH ST
Greenfield, MA 01301
(413) 774-2961
✔ PECOS27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Valley Oral Surgery Associates, P.C.'s NPI number?

The NPI number for Connecticut Valley Oral Surgery Associates, P.C. is 1417328162. It was assigned to this organization in the NPPES registry on October 7, 2015.

Where is Connecticut Valley Oral Surgery Associates, P.C. located?

Connecticut Valley Oral Surgery Associates, P.C. is located at 272 Main St, Keene, NH 03431. The listed phone number is (603) 357-3709.

What is Connecticut Valley Oral Surgery Associates, P.C.'s specialty?

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

Is Connecticut Valley Oral Surgery Associates, P.C. enrolled in Medicare?

Yes. Connecticut Valley Oral Surgery Associates, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Valley Oral Surgery Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Connecticut Valley Oral Surgery Associates, P.C., in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Connecticut Valley Oral Surgery Associates, P.C. was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.