| Premier Oral Surgery And Implantology Center Llc | |
|
211 E Putnam Ave Ste 2-6 Cos Cob CT 06807-2734 | |
| (203) 303-9693 | |
| Not Available |
| Full Name | Premier Oral Surgery And Implantology Center Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 211 E Putnam Ave Ste 2-6, Cos Cob, Connecticut |
| Authorized Official Name and Position | Simon Bangiyev (OWNER) |
| Authorized Official Contact | 2033039693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Oral Surgery And Implantology Center Llc 346 Main Ave Ste H Norwalk CT 06851-6406 Ph: (203) 939-9390 | Premier Oral Surgery And Implantology Center Llc 211 E Putnam Ave Ste 2-6 Cos Cob CT 06807-2734 Ph: (203) 303-9693 |
| NPI Number | 1518794338 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518794338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Francis Shin, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 E Putnam Ave, Cos Cob, CT 06807 Phone: 203-625-0301 | |
Shore Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 E Putnam Ave, Cos Cob, CT 06807 Phone: 203-625-7686 |