OrganizationActive
Facial Surgery Center
NPI 1336496454 · Oral and Maxillofacial Surgery (Dentist) · Trumbull, CT
Provider details
- NPI number
- 1336496454
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Salvatore Florio, President Oral and Maxillofacial Su(203) 261-7800
- License
- 8215 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 Technology Dr
B101
Trumbull, CT 06611-6337
Phone: (203) 261-7800
Fax: (203) 261-8778
Street-level locationGet directions
Mailing address
115 Technology Dr
Trumbull, CT 06611-6337
Registry dates
- Enumerated
- 2012-08-08
- Last updated
- 2012-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.