Individual provider · Type 1 NPI

Brian E. Fitzgerald, DMD

Oral and Maxillofacial Surgery (Dentist) · Bridgeport, CT

NPI number 1154518405 Active

Practice location

4747 Main St
Bridgeport, CT 06606-1804

Fax (203) 372-4912

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X4982 (CT)

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 1154518405

Brian E. Fitzgerald, DMD's National Provider Identifier is 1154518405, issued on Oct 1, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bridgeport, CT. The record was last updated on Nov 7, 2007.