PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
NPI 1952898025
Dentist - Oral and Maxillofacial Surgery in Stratford, CT

Q: What is Premier Oral Surgery And Implantology Center LLC's specialty?

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

Active since April 15, 2018

411 BARNUM AVENUE CUTOFF STE 5, STRATFORD, CT 06614(203) 960-1960 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2018, Apr 15, 2018 (2 updates tracked since 2018).

On this page

About Premier Oral Surgery And Implantology Center Llc NPPES

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

PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC (NPI 1952898025) is a healthcare organization registered as an oral and maxillofacial surgery in Stratford, Connecticut and active in the NPI registry since April 2018. The organization lists Simon Y Bangiyev, President, as its authorized official.

NPPES Registry Identity

NPI1952898025

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NamePREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC

Location Address411 BARNUM AVENUE CUTOFF STE 5Stratford, CT 06614-5100

Mailing Address411 Barnum Avenue Cutoff Ste 5Stratford, CT 06614-5100 · (203) 960-1960

Phone(203) 960-1960

Organization SubpartNo

Authorized OfficialSimon Y BangiyevPresident · (203) 690-1960

Enumeration DateApril 15, 2018

Last NPPES UpdateApril 16, 20182 updates tracked since enumeration

✔ NPI 1952898025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CT · 11114

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.

411 BARNUM AVENUE CUTOFF STE 5, Stratford, CT 06614

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

SETH BENJAMIN GREENBERG

Dentist (Oral and Maxillofacial Surgery)

411 BARNUM AVENUE CUTOFF STE 5
STRATFORD, CT 06614

Greater Bridgeport Planning Region (203) 690-1960

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 Premier Oral Surgery And Implantology Center LLC's NPI number?

The NPI number for Premier Oral Surgery And Implantology Center LLC is 1952898025. It was assigned to this organization in the NPPES registry on April 15, 2018.

Where is Premier Oral Surgery And Implantology Center LLC located?

Premier Oral Surgery And Implantology Center LLC is located at 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614. The listed phone number is (203) 960-1960.

What is Premier Oral Surgery And Implantology Center LLC's specialty?

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

What insurance does Premier Oral Surgery And Implantology Center LLC accept?

Health plans from UnitedHealthcare list Premier Oral Surgery And Implantology Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Oral Surgery And Implantology Center LLC was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.