| Danbury Oral & Maxillofacial Surgery Associates | |
|
85 North St Danbury CT 06810-5635 | |
| (203) 743-7401 | |
| Not Available |
| Full Name | Danbury Oral & Maxillofacial Surgery Associates |
|---|---|
| Speciality | Dentist |
| Location | 85 North St, Danbury, Connecticut |
| Authorized Official Name and Position | Marshall D. Kurtz (OWNER) |
| Authorized Official Contact | 2037900183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danbury Oral & Maxillofacial Surgery Associates 85 North St Danbury CT 06810-5635 Ph: (203) 743-7401 | Danbury Oral & Maxillofacial Surgery Associates 85 North St Danbury CT 06810-5635 Ph: (203) 743-7401 |
| NPI Number | 1922037514 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 10/04/2013 |
| Medicare PECOS PAC ID | 8325368400 |
|---|---|
| Medicare Enrollment ID | O20150514000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922037514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 004346 (Connecticut) | Primary |
| Provider Name | Marshall Kurtz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699752287 PECOS PAC ID: 4284616764 Enrollment ID: I20040607001316 |
| Provider Name | Joseph Hyung Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417215419 PECOS PAC ID: 7315220498 Enrollment ID: I20170215002335 |
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