PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC


Address: 324 Elm St Ste 201a, Monroe, CT 06468-2282
Phone: 2036901960

PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC (NPI# 1851958029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851958029
Entity Type Organization
Organization Name PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
Practice Address 324 Elm St Ste 201a
Monroe
CT 06468-2282
Practice Telephone 2036901960
Mailing Telephone 2036901960
Enumeration Date 2019-05-23
Last Update Date 2019-05-23
Authorized Official Name DR. SIMON BANGIYEV (PRESIDENT)
Authorized Official Telephone 2039601960
Authorized Official Credential DDS, MD.
Is Organization Subpart Y
Parent Organization Name PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952898025 Premier Oral Surgery and Implantology Center LLC Dentist 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 2018-04-15

Office Location

Street Address 324 ELM ST STE 201A
City MONROE
State CT
Zip Code 06468-2282

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932622701 Rory J Perimenis Dentist 324 Elm St Ste 201a, Monroe, CT 06468-2282 2017-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669932117 Christine Fuchs Social Worker 755 Main Street, Building 8, Monroe, CT 06468 2019-03-21
1700379765 Emily Ding Dentist 241 Monroe Tpke, Monroe, CT 06468 2018-06-13
1427563550 Oak Tree Therapy Pllc Community/Behavioral Health 755 Main Street, Building #1, Monroe, CT 06468 2017-12-12
1871013219 Growth Therapy LLC Marriage & Family Therapist 755 Main St., Monroe, CT 06468 2017-06-27
1134677719 Jacqueline M D'louhy Social Worker 115 Main St Main Street Counseling, Unit 3, Monroe, CT 06468 2016-09-13
1841638913 Tara E Beall-gomes Counselor 755 Main St Unit 3, Monroe, CT 06468 2013-06-11
1609122787 Jaimme Lee Franson Nurse Practitioner 324 Elm St Suite 202b, Monroe, CT 06468 2012-07-26
1427383488 Danielle Maryott Social Worker 755 Main Street No. 8 Suite B, Monroe, CT 06468 2009-10-08
1710194758 Rory T Perimenis Dentist 324 Elm Street, Suite 201a, Monroe, CT 06468 2007-05-17
1548339542 Donald P. Opatrny Marriage & Family Therapist 755 Main St Ste 2, Aspetuck Counseling Center, Monroe, CT 06468 2006-11-06
Find all providers in zip 06468

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497824528 Ray R. Rhymes Jr. Dentist 1812 Tower Dr, Monroe, LA 71201-4938 2006-11-06
1922020387 Steven Russell Patty Dentist 1851 Wellness Blvd, Monroe, NC 28110-7774 2006-07-24
1245287978 Lawrence W Pompili Dentist 876 Stewart Rd, #3, Monroe, MI 48162-5345 2006-05-28
1942297734 Eric Geist Dentist 2003 Forsythe Ave, Monroe, LA 71201-3608 2005-10-05
1629445986 Western Lake Erie Oms, PC Dentist 876 Stewart Rd, #3, Monroe, MI 48162-5345 2015-08-21
1689906349 Lawrence W Pompili Dds PC Dentist 876 Stewart Rd, #3, Monroe, MI 48162-5345 2010-02-05
1295931020 Tara Anne Valiquette Dentist 1851 Wellness Blvd, Monroe, NC 28110-7774 2007-06-27
1861534950 Steven R Patty Dds Pa Dentist 1851 Wellness Blvd, Monroe, NC 28110-7774 2007-02-13
1265515399 Kelley Suzanne Lybrand Dentist 1851 Wellness Blvd, Monroe, NC 28110-7774 2006-10-23
1740299569 Erik F Reitter Dentist 1851 Wellness Blvd, Monroe, NC 28110-7774 2006-08-08
Find all providers in MONROE

Competitor

Search similar providers

City MONROE
Zip Code 06468

Improve Information

Please comment or provide details below to improve the information on PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches