GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C.


Address: 23 Maple Ave, Greenwich, CT 06830-5620
Phone: 2036615858

GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C. (NPI# 1073633426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073633426
Entity Type Organization
Organization Name GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C.
Practice Address 23 Maple Ave
Greenwich
CT 06830-5620
Practice Telephone 2036615858
Practice Fax Number 2036611159
Mailing Telephone 2036615858
Mailing Fax Number 2036611159
Enumeration Date 2007-03-30
Last Update Date 2020-08-22
Authorized Official Name DR. STEVEN M BRODY (PRESIDENT)
Authorized Official Telephone 2036615858
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
049719-1 NY Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
009552 CT Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
7023 CT Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
040760 NY Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
033181 NY Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
6237 CT Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT NPI 1518057389 01
CT NPI 1649298944 01
1255421012 NPI 01

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C. 23 Maple Ave, Greenwich, CT 06830
New York State Corporations GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C. 3010 Westchester Avenue, Purchase, Ny 10577

Office Location

Street Address 23 MAPLE AVE
City GREENWICH
State CT
Zip Code 06830-5620

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649298944 Thomas Benedict Wilson I Dentist 23 Maple Ave, Greenwich, CT 06830-5620 2006-07-17
1922378678 Maia B Weed Nurse Practitioner 23 Maple Ave, Greenwich, CT 06830-5620 2012-01-11
1871871103 Silvi George Nurse Practitioner 23 Maple Ave, Greenwich, CT 06830-5620 2011-08-03
1386979565 James P Orphanos Clinic/Center 23 Maple Ave, Greenwich, CT 06830-5620 2009-10-06
1255421012 Joseph Francis Wallace IIi Dentist 23 Maple Ave, Greenwich, CT 06830-5620 2006-10-13
1518057389 Steven Mark Brody Dentist 23 Maple Ave, Greenwich, CT 06830-5620 2006-10-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992303341 Cristina Castagna Physical Therapist 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 2020-10-16
1194334334 Cognitive and Behavioral Care Center, LLC Counselor 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 2020-07-23
1245866433 Barbara Edeson Roth Speech-Language Pathologist The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 2020-03-19
1750938932 Evelyn Ramos Licensed Practical Nurse 111 Wilbur Peck Ct, Greenwich, CT 06830 2019-08-21
1134773674 Alexandra Blair Conway Psychologist 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 2019-08-01
1821560871 Brionna Emily Lyles Licensed Practical Nurse 111 Wilbur Court, Greenwich, CT 06830 2018-12-31
1568959815 Backcountry Wellness Inc. Social Worker 7 Lincoln Avenue, Greenwich, CT 06830 2018-04-21
1316455876 Hillary Rea Bercovici Counselor 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 2018-01-18
1689181083 Coastal Eye Surgeons LLC Ophthalmology 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 2018-01-07
1952853814 Tina M. Crystal Psychologist 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 2016-10-26
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114231909 Oral Surgery Associates Dentist 2653 State Route 40, Greenwich, NY 12834-2303 2010-08-04
1649298944 Thomas Benedict Wilson I Dentist 23 Maple Ave, Greenwich, CT 06830-5620 2006-07-17
1255421012 Joseph Francis Wallace IIi Dentist 23 Maple Ave, Greenwich, CT 06830-5620 2006-10-13
1518057389 Steven Mark Brody Dentist 23 Maple Ave, Greenwich, CT 06830-5620 2006-10-13
1215929286 Michele Shoshana Bergen Dentist 49 Lake Ave, Greenwich, CT 06830-4501 2005-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053951350 Connecticut Oral Surgery and Implant Center, Pllc Dentist 314 Flanders Rd Ste 1b, East Lyme, CT 06333-1727 2020-01-14
1952898025 Premier Oral Surgery and Implantology Center LLC Dentist 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 2018-04-15
1629595145 Gary Fishbein Dmd LLC Dentist 281 Hartford Tpke Ste 307, Vernon, CT 06066-4707 2017-08-25
1912428160 Gm Surgical Associates LLC Dentist 130 New London Tpke Ste 3, Norwich, CT 06360-2624 2017-06-28
1861920068 Mofs-ct Oral Facial Surgery LLC Dentist 1 Boulder Ave, Old Greenwich, CT 06870-1420 2017-06-01
1881034262 Christy Lottinger Dentist 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 2013-06-28
1558618025 Priceless Dental Care P.C. Dentist 60 Waterbury Rd Ste E, Prospect, CT 06712-1251 2012-08-14
1477840270 Imanuel Babayev Dentist 148 East Ave Ste 3h1, Norwalk, CT 06851-5721 2011-06-30
1629364997 New London Dental Care, LLC Dentist 258 S Frontage Rd, New London, CT 06320-2641 2011-06-24
1952600595 James M. Lee Dentist 366 Munger Lane, Bethlehem, CT 06751-1100 2011-03-22
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Competitor

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City GREENWICH
Zip Code 06830

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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