Fairfield Oms LLC
NPI #1437031101 in Southport, Connecticut
Provider Information
- NPI Number
- 1437031101
- Entity Type
- Organization
- Organization Name
- Fairfield Oms LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jul 23, 2025
- Last Updated
- Jul 23, 2025
Practice Location
- Address
- 760 KINGS HWY W BLDG B
- City
- Southport
- State
- Connecticut
- ZIP Code
- 06890-3102
- Phone
- (203) 259-2227
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (612) 859-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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