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ORAL & MAXILLOFACIAL SURGEONS OF MILFORD & DERBY, PC
NPI 1912035213
Dentist - Oral and Maxillofacial Surgery in Milford, CT

Active since March 01, 2007CLIA 07D2195530 · Waiver
1 GOLDEN HILL ST, MILFORD, CT 06460(203) 874-1664(203) 877-2027 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oral & Maxillofacial Surgeons Of Milford & Derby, Pc NPPES

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

ORAL & MAXILLOFACIAL SURGEONS OF MILFORD & DERBY, PC (NPI 1912035213) is a healthcare organization registered as an oral and maxillofacial surgery in Milford, Connecticut and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Krista D Fabian, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1912035213
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL & MAXILLOFACIAL SURGEONS OF MILFORD & DERBY, PC
Location Address1 GOLDEN HILL STMilford, CT 06460-4630
Mailing Address1 Golden Hill StMilford, CT 06460-4630 · (203) 874-1664 · Fax (203) 877-2027
Phone(203) 874-1664
Fax(203) 877-2027
Organization SubpartNo
Authorized OfficialKrista D FabianPractice Manager · (203) 874-1664
Enumeration DateMarch 1, 2007
Last NPPES UpdateApril 18, 2013
✔ NPI 1912035213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
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.
1 GOLDEN HILL ST, Milford, CT 06460
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Other Identifiers 6

Medicare UPINT23355CT
Medicare UPINT22002CT
Other020006602CT01CT · Anthem Blue Cross
Medicare ID-Type Unspecified190000455CT
Medicare ID-Type Unspecified190000611CT
Other020004683CT02CT · Anthem Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2195530

Oral & Maxillofacial Surgeons Of Milford &derby PC · Milford, CT
Active · expires Oct 8, 2026
CLIA Number07D2195530
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorJoseph A. Perrone Dmd MD
Laboratory Phone(203) 874-1664
Laboratory LocationOral & Maxillofacial Surgeons Of Milford &derby PC1 Golden Hill St, Milford, CT 06460
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NITAI RIEGLER, MD LLC
Internal Medicine (Pulmonary Disease)
1 GOLDEN HILL ST
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 876-6848
DR. FEDELE N VOLPE D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1 GOLDEN HILL ST
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 874-1664
DR. PHILIP ANTHONY CAPORUSSO DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
1 GOLDEN HILL ST
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 874-5400
MR. MICHAEL DANIEL PETRAS II LMFT
Marriage & Family Therapist
1 GOLDEN HILL ST
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 882-2066
DR. PAUL L WINELAND D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1 GOLDEN HILL ST
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 874-1664
DR. BRUCE R. SCHECHTER D.D.S.
Dentist (General Practice)
1 GOLDEN HILL ST
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 878-1787
DR. PAUL MICHAEL CIUCI DMD, MD
Dentist (Oral and Maxillofacial Surgery)
1 GOLDEN HILL ST
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 874-1664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral & Maxillofacial Surgeons Of Milford & Derby, PC's NPI number?

The NPI number for Oral & Maxillofacial Surgeons Of Milford & Derby, PC is 1912035213. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Oral & Maxillofacial Surgeons Of Milford & Derby, PC located?

Oral & Maxillofacial Surgeons Of Milford & Derby, PC is located at 1 Golden Hill St, Milford, CT 06460. The listed phone number is (203) 874-1664.

What is Oral & Maxillofacial Surgeons Of Milford & Derby, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Does Oral & Maxillofacial Surgeons Of Milford & Derby, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2195530) is associated with this NPI, valid through October 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oral & Maxillofacial Surgeons Of Milford & Derby, PC was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.