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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
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 |
Street Address |
324 ELM ST STE 201A |
City | MONROE |
State | CT |
Zip Code | 06468-2282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932622701 | Rory J Perimenis | Dentist | 324 Elm St Ste 201a, Monroe, CT 06468-2282 | 2017-07-24 |
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 Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
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 |
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 |
Please comment or provide details below to improve the information on PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC.
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.