Active NPIOrganization

Premier Oral Surgery And Implantology Center LLC

Dentist, Oral and Maxillofacial Surgery in Stratford, Connecticut

NPI Number1952898025
Practice location
411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100
Fax
—
Last updated
April 16, 2018

Premier Oral Surgery And Implantology Center LLC is a healthcare organization based in Stratford, CT. Premier Oral Surgery And Implantology Center LLC practices in Stratford, CT. The NPI Number for Premier Oral Surgery And Implantology Center LLC is 1952898025 and holds a License No. 11114 (CT). The current practice location address for Premier Oral Surgery And Implantology Center LLC is 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 and can be reached out via phone at 203-960-1960.

Provider Profile Details

NPI Number
1952898025
Provider Name
Premier Oral Surgery And Implantology Center LLC
Provider Entity Type
Organization
Address
411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100
Phone Number
203-960-1960
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. Simon Y Bangiyev, DDS, MD · President · 203-690-1960
Provider Enumeration Date
April 15, 2018
Last Update Date
April 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
411 Barnum Avenue Cutoff Ste 5
Stratford, CT 06614-5100
Zip
06614-5100
Phone Number
203-960-1960
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
411 Barnum Avenue Cutoff Ste 5
Stratford, CT 06614-5100
City
Stratford
State
CT
Zip
06614-5100
Phone Number
203-960-1960

License Information

License Number
11114
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 Premier Oral Surgery And Implantology Center LLC?

The NPI number of Premier Oral Surgery And Implantology Center LLC is 1952898025. It was assigned on April 15, 2018 and is currently active in the NPPES registry.

What is the specialty of Premier Oral Surgery And Implantology Center LLC?

Premier Oral Surgery And Implantology Center LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in CT under license number 11114.

Where does Premier Oral Surgery And Implantology Center LLC practice?

The practice location is 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100. The office can be reached at 203-960-1960 (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 1952898025 directly on the NPPES registry website.

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