Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Connecticut Center for Oral Facial and Implant Surgery PC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1053782060

Connecticut Center for Oral Facial and Implant Surgery PC is an Oral and Maxillofacial Surgery Clinic/Center in West Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.

Licensed in
CT
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

80 S Main St
West Hartford, CT 06107-2408
Phone: (860) 231-1030
Fax: (860) 231-1032
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence 011331 (CT)

Record details

NPI number1053782060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Gady — President · (860) 231-1030
NPI enumeratedOctober 16, 2015
Last updated in NPPESOctober 17, 2022
Certification dateJuly 7, 2022
Mailing address80 S Main St, West Hartford, CT 06107-2408

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