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GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES P.C. NPI 1073633426


NPI Information

NPI: 1073633426
Provider Name: GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
23 MAPLE AVE
GREENWICH, CT
ZIP 06830
Phone: (203) 661-5858
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GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C. is an oral and maxillofacial surgery dentist in Greenwich, CT. The provider is an oral and maxillofacial surgery dentist specialized in 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. GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C. NPI is 1073633426. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

23 MAPLE AVE
GREENWICH, CT
ZIP 06830-620
Phone: (203) 661-5858
Fax: (203) 661-1159

The provider's authorized official is Steven M Brody .
The authorized official title is President and has the following contact phone number (203) 661-5858.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery049719-1NEW YORKNo
21223S0112XDentistOral and Maxillofacial Surgery009552CONNECTICUTNo
31223S0112XDentistOral and Maxillofacial Surgery7023CONNECTICUTNo
41223S0112XDentistOral and Maxillofacial Surgery040760NEW YORKNo
51223S0112XDentistOral and Maxillofacial Surgery033181NEW YORKNo
61223S0112XDentistOral and Maxillofacial Surgery6237CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11518057389OTHERCONNECTICUTNPI
21649298944OTHERCONNECTICUTNPI
3NPIOTHER1255421012

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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