Individual provider · Type 1 NPI

Stephen Thaddeus Connelly, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · San Francisco, CA

NPI number 1720201692 Active

Practice location

4150 Clement St
San Francisco, CA 94121-1545

Call (415) 476-8999 Map

Mailing address

1320 Tuolumne Rd
Millbrae, CA 94030-1536

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XA95042 (CA)

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 1720201692

Stephen Thaddeus Connelly, MD, DDS's National Provider Identifier is 1720201692, issued on Apr 10, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Francisco, CA. The record was last updated on Apr 18, 2012.