Individual provider · Type 1 NPI

Naushad Ratan Edibam, DMD

Oral and Maxillofacial Surgery (Dentist) · Mansfield Center, CT

NPI number 1982802294 Active

Practice location

10 Higgins Hwy, #10
Mansfield Center, CT 06250-1437

Mailing address

27 Bridge St, #10
Stamford, CT 06905-4501

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X009711 (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 1982802294

Naushad Ratan Edibam, DMD's National Provider Identifier is 1982802294, issued on Jul 8, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mansfield Center, CT. The record was last updated on Nov 7, 2016.