Active NPIOrganization

Mofs-Ct Oral Facial Surgery LLC

Dentist, Oral and Maxillofacial Surgery in Old Greenwich, Connecticut

NPI Number1861920068
Practice location
1 Boulder Ave, Old Greenwich, CT 06870-1420
Fax
212-202-6447
Last updated
June 1, 2017

Mofs-Ct Oral Facial Surgery LLC is a healthcare organization based in Old Greenwich, CT. Mofs-Ct Oral Facial Surgery LLC practices in Old Greenwich, CT. The NPI Number for Mofs-Ct Oral Facial Surgery LLC is 1861920068 and holds a License No. 9973 (CT). The current practice location address for Mofs-Ct Oral Facial Surgery LLC is 1 Boulder Ave, Old Greenwich, CT 06870-1420 and can be reached out via phone at 203-990-3300 and via fax at 212-202-6447.

Provider Profile Details

NPI Number
1861920068
Provider Name
Mofs-Ct Oral Facial Surgery LLC
Provider Entity Type
Organization
Address
1 Boulder Ave, Old Greenwich, CT 06870-1420
Phone Number
203-990-3300
Fax Number
212-202-6447
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. Janet C Bodey, DDS · Managing Member · 203-998-7470
Other Names
Dental Oral Surgery (Doing Business As)
Provider Enumeration Date
June 1, 2017
Last Update Date
June 1, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Boulder Ave
Old Greenwich, CT 06870-1420
Zip
06870-1420
Phone Number
203-990-3300
Fax Number
212-202-6447
Old Greenwich, CT 06870Get directions →

Provider Business Mailing Address Details

Address
6118 Riverdale Ave
Bronx, NY 10471-1009
City
Bronx
State
NY
Zip
10471-1009
Phone Number
203-998-7470
Fax Number
212-202-6447

License Information

License Number
9973
License State
CT
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 Mofs-Ct Oral Facial Surgery LLC?

The NPI number of Mofs-Ct Oral Facial Surgery LLC is 1861920068. It was assigned on June 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Mofs-Ct Oral Facial Surgery LLC?

Mofs-Ct Oral Facial Surgery LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in CT under license number 9973.

Where does Mofs-Ct Oral Facial Surgery LLC practice?

The practice location is 1 Boulder Ave, Old Greenwich, CT 06870-1420. The office can be reached at 203-990-3300 (phone) or 212-202-6447 (fax).

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 1861920068 directly on the NPPES registry website.

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