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

Coventry Oral and Implant Surgery PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1811686322

Coventry Oral and Implant Surgery PLLC is an Oral and Maxillofacial Surgery (Dentist) in Coventry, Connecticut. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1572 Boston Tpke
Coventry, CT 06238-1205
Phone: (860) 649-2272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1811686322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryaz Ansari — Owner · (860) 649-2272
NPI enumeratedMay 2, 2023
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023
Mailing address483 Middle Tpke W Ste 102, Manchester, CT 06040-3864