Organization · Type 2 NPI

Bristol Oral Surgery & Implant Center

Oral and Maxillofacial Surgery (Dentist) · Bristol, CT

NPI number 1992122956 Active

Practice location

33 High St
Bristol, CT 06010-5820

Fax (860) 645-0349

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X9812 (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 1992122956

Bristol Oral Surgery & Implant Center's National Provider Identifier is 1992122956, issued on Mar 27, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bristol, CT. The record was last updated on Mar 27, 2014.