Active NPIOrganization

Ridgefield Oral And Maxillofacial Surgery, LLC

Dentist, Oral and Maxillofacial Surgery in Ridgefield, Connecticut

NPI Number1083173538
Practice location
10 South St Ste 202, Ridgefield, CT 06877-4125
Fax
—
Last updated
March 14, 2019

Ridgefield Oral And Maxillofacial Surgery, LLC is a healthcare organization based in Ridgefield, CT. Ridgefield Oral And Maxillofacial Surgery, LLC practices in Ridgefield, CT. The NPI Number for Ridgefield Oral And Maxillofacial Surgery, LLC is 1083173538. The current practice location address for Ridgefield Oral And Maxillofacial Surgery, LLC is 10 South St Ste 202, Ridgefield, CT 06877-4125 and can be reached out via phone at 203-403-3686.

Provider Profile Details

NPI Number
1083173538
Provider Name
Ridgefield Oral And Maxillofacial Surgery, LLC
Provider Entity Type
Organization
Address
10 South St Ste 202, Ridgefield, CT 06877-4125
Phone Number
203-403-3686
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. Steven Edward Smullin, DMD, MD · Owner · 203-403-3686
Provider Enumeration Date
March 14, 2019
Last Update Date
March 14, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 South St Ste 202
Ridgefield, CT 06877-4125
Zip
06877-4125
Phone Number
203-403-3686
Ridgefield, CT 06877Get directions →

Provider Business Mailing Address Details

Address
87 Brookhollow Ln
Stamford, CT 06902-1014
City
Stamford
State
CT
Zip
06902-1014
Phone Number
617-230-1152

License Information

Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ridgefield Oral And Maxillofacial Surgery, LLC?

The NPI number of Ridgefield Oral And Maxillofacial Surgery, LLC is 1083173538. It was assigned on March 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Ridgefield Oral And Maxillofacial Surgery, LLC?

Ridgefield Oral And Maxillofacial Surgery, LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X).

Where does Ridgefield Oral And Maxillofacial Surgery, LLC practice?

The practice location is 10 South St Ste 202, Ridgefield, CT 06877-4125. The office can be reached at 203-403-3686 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083173538 directly on the NPPES registry website.

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