SIMON BANGIYEV DDS MD PC DBA PREMIER ORAL SURGERY NPI 1861939456

NPI Information

SIMON BANGIYEV DDS, MD, PC DBA PREMIER ORAL SURGERY 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. SIMON BANGIYEV DDS, MD, PC DBA PREMIER ORAL SURGERY NPI is 1861939456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

346 MAIN AVE
SUITE H
NORWALK, CT
ZIP 06851-592
Phone: (203) 939-9390

The provider's authorized official is Simon Y Bangiyev .
The authorized official title is President and has the following contact phone number (203) 939-9390.

The enumeration date for this NPI number is 1/20/2017 and was last updated on 1/20/2017.

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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