| Bristol Oral Surgery & Implant Center | |
|
33 High St Bristol CT 06010-5820 | |
| (860) 538-3495 | |
| (860) 645-0349 |
| Full Name | Bristol Oral Surgery & Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 33 High St, Bristol, Connecticut |
| Authorized Official Name and Position | David Aaron Fenton (OWNER / PHYSICIAN) |
| Authorized Official Contact | 8605383495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol Oral Surgery & Implant Center 33 High St Bristol CT 06010-5820 Ph: (860) 538-3495 | Bristol Oral Surgery & Implant Center 33 High St Bristol CT 06010-5820 Ph: (860) 538-3495 |
| NPI Number | 1992122956 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 03/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992122956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9812 (Connecticut) | Primary |
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