STAMFORD ORAL AND MAXILLOFACIAL SURGICAL ARTS LLC
NPI 1720520976
Clinic/Center - Oral and Maxillofacial Surgery in Stamford, CT

Active since November 04, 2016
27 BRIDGE ST, STAMFORD, CT 06905(203) 325-2661 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stamford Oral And Maxillofacial Surgical Arts Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAMFORD ORAL AND MAXILLOFACIAL SURGICAL ARTS LLC (NPI 1720520976) is a healthcare organization registered as an oral and maxillofacial surgery in Stamford, Connecticut and active in the NPI registry since November 2016. The organization lists Naushad Edibam, Member, as its authorized official.

NPPES Registry Identity

NPI1720520976
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameSTAMFORD ORAL AND MAXILLOFACIAL SURGICAL ARTS LLC
Location Address27 BRIDGE STStamford, CT 06905-4501
Mailing Address27 Bridge StStamford, CT 06905-4501 · (203) 325-2661
Organization SubpartNo
Authorized OfficialNaushad EdibamMember · (203) 325-2661
Enumeration DateNovember 4, 2016
NPI 1720520976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License Licensed in CT · 009711
Definition

An oral and maxillofacial surgery clinic or center 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.

27 BRIDGE ST, Stamford, CT 06905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720520976, enumerated as an "organization" on November 04, 2016.

The provider is located at 27 BRIDGE ST STAMFORD, CT 06905 and the phone number is (203) 325-2661.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.