PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC NPI 1851958029

NPI Information

PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC is an oral and maxillofacial surgery dentist in Monroe, CT. The provider is 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. PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC NPI is 1851958029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

324 ELM ST STE 201A
MONROE, CT
ZIP 06468-282
Phone: (203) 690-1960

The provider's authorized official is Simon Bangiyev .
The authorized official title is President and has the following contact phone number (203) 960-1960.

The enumeration date for this NPI number is 5/23/2019 and was last updated on 5/23/2019.

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:

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