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Fairfield Oms LLC — NPI 1437031101, Southport, CT | NPI Central

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NPI 1437031101

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Fairfield Oms LLC

NPI 1437031101 · Oral and Maxillofacial Surgery (Dentist) · Southport, CT

Provider details

NPI number: 1437031101
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Organization subpart: No
Authorized official: Chad Hendricks, Credentialing(612) 859-0444

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112X
Dental Providers

Practice location

760 Kings Hwy W Bldg B

Southport, CT 06890-3102

Phone: (203) 259-2227

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

760 Kings Hwy W Bldg B

Southport, CT 06890-3102

Other names (DBA / former)

Doing business as: Fairfield Oral Surgery

Registry dates

Enumerated: 2025-07-23
Last updated: 2025-07-23
Certified: 2025-07-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.