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CENTER FOR ORAL & IMPLANT SURGERY P.C NPI 1457542664


NPI Information

NPI: 1457542664
Provider Name: CENTER FOR ORAL & IMPLANT SURGERY, P.C
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2 TRAP FALLS RD
SUITE 103
SHELTON, CT
ZIP 06484
Phone: (203) 925-8700
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CENTER FOR ORAL & IMPLANT SURGERY, P.C is an oral and maxillofacial surgery dentist in Shelton, 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. CENTER FOR ORAL & IMPLANT SURGERY, P.C NPI is 1457542664. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2 TRAP FALLS RD
SUITE 103
SHELTON, CT
ZIP 06484-616
Phone: (203) 925-8700
Fax: (203) 925-8770

The provider's authorized official is MICHAEL JJ Safian .
The authorized official title is Owner and has the following contact phone number (203) 925-8700.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.


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 Surgery008660CONNECTICUTYes

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
1U96580MEDICARE UPIN

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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