Organization · Type 2 NPI

Ridgefield Oral and Maxillofacial Surgery, LLC

Oral and Maxillofacial Surgery (Dentist) · Ridgefield, CT

NPI number 1083173538 Active

Practice location

10 South St Ste 202
Ridgefield, CT 06877-4125

Mailing address

87 Brookhollow Ln
Stamford, CT 06902-1014

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.

Another provider at this address

About NPI 1083173538

Ridgefield Oral and Maxillofacial Surgery, LLC's National Provider Identifier is 1083173538, issued on Mar 14, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ridgefield, CT. The record was last updated on Mar 14, 2019.