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

New: Glastonbury Oral and Implant Surgery PLLC

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1407455538

New: Glastonbury Oral and Implant Surgery PLLC is an Oral and Maxillofacial Pathology Dentistry in Glastonbury, Connecticut. Registered with an NPI since 2020.

In the registry since
2020
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

131 New London Tpke
Glastonbury, CT 06033-7042
Phone: (860) 659-2623
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X

Record details

NPI number1407455538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryaz Ansari — Owner/Oms · (860) 649-0227
Other names Glastonbury Implant Dentistry, Oral And Facial Surgery
NPI enumeratedOctober 20, 2020
Last updated in NPPESJune 16, 2025
Certification dateOctober 20, 2020
Mailing address483 Middle Tpke W Ste 102, Manchester, CT 06040-3864