Organization · Type 2 NPI

Stamford Oral & Maxillofacial Surgery Assoc PC

Oral and Maxillofacial Surgery (Dentist) · Stamford, CT

NPI number 1063609105 Active

Practice location

27 Bridge Street
Stamford, CT 06905-4597

Fax (203) 323-5611

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1063609105

Stamford Oral & Maxillofacial Surgery Assoc PC's National Provider Identifier is 1063609105, issued on Oct 3, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Stamford, CT. The record was last updated on Oct 3, 2007.