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

East Lyme Oral and Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1205906369

East Lyme Oral and Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in East Lyme, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006

Practice location Address checks out

314 Flanders Rd Ste 1B
East Lyme, CT 06333-1727
Phone: (860) 739-3133
Fax: (860) 739-3131
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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 · Licence 007384 (CT)

Record details

NPI number1205906369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirk Engel — Member And Owner · (860) 739-3133
NPI enumeratedNovember 8, 2006
Last updated in NPPESAugust 25, 2007
Mailing address314 Flanders Rd, Suite 1b, East Lyme, CT 06333-1727

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