ORAL & MAXILLOFACIAL SURGEONS OF MILFORD & DERBY, PC


Address: 1 Golden Hill St, Milford, CT 06460-4630
Phone: 2038741664

ORAL & MAXILLOFACIAL SURGEONS OF MILFORD & DERBY, PC (NPI# 1912035213) 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) 1912035213
Entity Type Organization
Organization Name ORAL & MAXILLOFACIAL SURGEONS OF MILFORD & DERBY, PC
Practice Address 1 Golden Hill St
Milford
CT 06460-4630
Practice Telephone 2038741664
Practice Fax Number 2038772027
Mailing Telephone 2038741664
Mailing Fax Number 2038772027
Enumeration Date 2007-03-01
Last Update Date 2013-04-18
Authorized Official Name MRS. KRISTA D FABIAN (PRACTICE MANAGER)
Authorized Official Telephone 2038741664
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT ANTHEM BLUE CROSS 020006602CT01 01
CT ANTHEM BLUE CROSS 020004683CT02 01

Office Location

Street Address 1 GOLDEN HILL ST
City MILFORD
State CT
Zip Code 06460-4630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093728495 Fedele N Volpe Dentist 1 Golden Hill St, Milford, CT 06460-4630 2006-08-15
1053684605 Nitai Riegler, Md LLC Internal Medicine 1 Golden Hill St, Milford, CT 06460-4630 2012-02-13
1255622387 Steven L. Saunders, M.d., LLC Internal Medicine 1 Golden Hill St, Milford, CT 06460-4630 2011-04-24
1245379668 Philip Anthony Caporusso Dentist 1 Golden Hill St, Milford, CT 06460-4630 2007-02-05
1992843437 Paul Michael Ciuci Dentist 1 Golden Hill St, Milford, CT 06460-4630 2007-02-04
1568514693 Steven Lindsey Saunders Internal Medicine 1 Golden Hill St, Milford, CT 06460-4630 2007-01-17
1972664373 Bruce R. Schechter Dentist 1 Golden Hill St, Milford, CT 06460-4630 2006-12-12
1902911217 Paul L Wineland Dentist 1 Golden Hill St, Milford, CT 06460-4630 2006-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326678616 Tracy Southworth Social Worker 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 2020-01-25
1598301707 Mahboob Ur Rehman Pharmacist 1082 Boston Post Road, Milford, CT 06460 2019-11-22
1750800223 Caitlin E Kingston Counselor 48 Argyle Rd, Milford, CT 06460 2017-09-15
1912437609 Vanessa Elizabeth Kellas Counselor 949 Bridgport Ave, Milford, CT 06460 2017-06-14
1548634454 Rian Degroat Case Manager/Care Coordinator 949-941 Bridgeport Ave, Milford, CT 06460 2015-11-17
1619354446 Stephanie Meoli Occupational Therapist 195 Platt Street, Milford, CT 06460 2015-04-30
1588069298 Elizabeth Laliberte Counselor 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 2014-10-24
1366869851 Chamonix Sikora Speech-Language Pathologist 8b Church Street South, Westport, CT 06460 2014-03-24
1528404688 Alexandra Garces Nutritionist 150 New Haven Avenue, Milford, CT 06460 2013-05-16
1598100869 Seabright Cardiovascular Center, LLC Internal Medicine 353 Bridgeport Ave, Milford, CT 06460 2013-05-01
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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
1295189280 Jonathan Bishop Dentist 208 Main St Ste 116, Milford, MA 01757-2502 2016-04-16
1093728495 Fedele N Volpe Dentist 1 Golden Hill St, Milford, CT 06460-4630 2006-08-15
1295188332 Oral Surgery Partners PC Dentist 208 Main St Ste 116, Milford, MA 01757-2502 2016-07-13
1952670432 Abhishek Gupta Dentist 208 Main St, Milford, MA 01757-2502 2011-12-29
1780859488 Wael Youseff Dentist 113 Water St, Milford, MA 01757-3021 2008-04-24
1992843437 Paul Michael Ciuci Dentist 1 Golden Hill St, Milford, CT 06460-4630 2007-02-04
1124199914 Metrowest Oral Surgical Associates Dentist 113 Water St, Milford, MA 01757-3021 2006-11-13
1902911217 Paul L Wineland Dentist 1 Golden Hill St, Milford, CT 06460-4630 2006-08-20

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 MILFORD
Zip Code 06460

Improve Information

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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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