Ridgefield Oral and Maxillofacial Surgery, LLC
NPI #1083173538 in Ridgefield, Connecticut
Provider Information
- NPI Number
- 1083173538
- Entity Type
- Organization
- Organization Name
- Ridgefield Oral and Maxillofacial Surgery, LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 14, 2019
- Last Updated
- Mar 14, 2019
Practice Location
- Address
- 10 SOUTH ST STE 202
- City
- Ridgefield
- State
- Connecticut
- ZIP Code
- 06877-4125
- Phone
- (203) 403-3686
Authorized Official
- Name
- DR. STEVEN EDWARD SMULLIN, DMD, MD
- Title
- OWNER
- Phone
- (203) 403-3686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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