WEST HARTFORD ORAL AND IMPLANT SURGERY PLLC
NPI 1811387863
Dentist - Oral and Maxillofacial Surgery in Manchester, CT

NPI Status: Active since January 29, 2015

Contact Information

483 MIDDLE TPKE W
MANCHESTER, CT
ZIP 06040
Phone: (860) 649-2272
Fax: (860) 533-1010

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • CLIA Number: 07D2115916
  • CLIA Cert. Type: Other - PARAMEDIC
  • CLIA Exp. Date: 07-14-2026

About WEST HARTFORD ORAL AND IMPLANT SURGERY PLLC

This page provides the complete NPI Profile along with additional information for West Hartford Oral And Implant Surgery Pllc, a provider established in Manchester, Connecticut operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1811387863 assigned on January 2015. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Lisa Harrison (Business Manager)

NPI
1811387863
Provider Legal Name
WEST HARTFORD ORAL AND IMPLANT SURGERY PLLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
483 MIDDLE TPKE W MANCHESTER, CT 06040
Location Phone
(860) 649-2272
Location Fax
(860) 533-1010
Mailing Address
483 MIDDLE TURNPIKE WEST SUITE 102 MANCHESTER, CT 06040
Mailing Phone
(860) 232-4606
Mailing Fax
(860) 533-1010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2015
Last Update Date
09-04-2025
Code Navigator

A dentist like West Hartford Oral And Implant Surgery Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

009050 (CT)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA HARRISON

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(860) 646-2272

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D2115916
Facility Type
Other - PARAMEDIC
Certificate Effective Date
July 15, 2024
Certificate Expiration Date
July 14, 2026
Laboratory Director
GREG PRIEST
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to West Hartford Oral And Implant Surgery Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1811387863, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 6 + 8 + 1 + 4 + 8 + 1 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1811387863.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Dentist (General Practice)
483 MIDDLE TPKE W
MANCHESTER, CT 06040
Dentist (Oral and Maxillofacial Surgery)
483 MIDDLE TPKE W
MANCHESTER, CT 06040
Internal Medicine
483 MIDDLE TPKE W, #300
MANCHESTER, CT 06040
Dentist (General Practice)
483 MIDDLE TPKE W
MANCHESTER, CT 06040
Registered Nurse (Psychiatric/Mental Health, Adult)
483 MIDDLE TPKE W, SUITE #205
MANCHESTER, CT 06040
Dentist (General Practice)
483 MIDDLE TPKE W
MANCHESTER, CT 06040
Podiatrist
483 MIDDLE TPKE W
MANCHESTER, CT 06040
Dentist
483 MIDDLE TPKE W
MANCHESTER, CT 06040
Dentist (General Practice)
483 MIDDLE TPKE W, UNIT 309
MANCHESTER, CT 06040
Dentist (Prosthodontics)
483 MIDDLE TPKE W, SUITE 309
MANCHESTER, CT 06040
Dentist (General Practice)
483 MIDDLE TPKE W
MANCHESTER, CT 06040
Dentist (Oral and Maxillofacial Surgery)
483 MIDDLE TPKE W, SUITE 102
MANCHESTER, CT 06040
Dentist
483 MIDDLE TPKE W
MANCHESTER, CT 06040
Dentist (Oral and Maxillofacial Surgery)
483 MIDDLE TPKE W
MANCHESTER, CT 06040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811387863, enumerated as an "organization" on January 29, 2015.

The provider is located at 483 MIDDLE TPKE W MANCHESTER, CT 06040 and the phone number is (860) 649-2272.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.