ORAL MAXILLOFACIAL SURGERY FAIRFIELD COUNTY LLC NPI 1699210922

NPI Information

ORAL MAXILLOFACIAL SURGERY FAIRFIELD COUNTY LLC is an oral and maxillofacial surgery dentist in Norwalk, 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. ORAL MAXILLOFACIAL SURGERY FAIRFIELD COUNTY LLC NPI is 1699210922. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

148 EAST AVE STE 3H1
NORWALK, CT
ZIP 06851-721
Phone: (718) 666-6664

The provider's authorized official is Imanuel Babayev .
The authorized official title is Owner and has the following contact phone number (718) 666-6664.

The enumeration date for this NPI number is 12/22/2016 and was last updated on 12/22/2016.

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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