ORAL & MAXILLOFACIAL SURGEONS OF MILFORD & DERBY PC NPI 1912035213

NPI Information

ORAL & MAXILLOFACIAL SURGEONS OF MILFORD & DERBY, PC is an oral and maxillofacial surgery dentist in Milford, 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 SURGEONS OF MILFORD & DERBY, PC NPI is 1912035213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 GOLDEN HILL ST
MILFORD, CT
ZIP 06460-630
Phone: (203) 874-1664
Fax: (203) 877-2027

The provider's authorized official is Krista D Fabian .
The authorized official title is Practice Manager and has the following contact phone number (203) 874-1664.

The CLIA number assigned to this NPI record is 07D2195530 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 4/18/2013.

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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