OrganizationActive
Stamford Oral and Maxillofacial Surgical Arts LLC
NPI 1720520976 · Oral and Maxillofacial Surgery Clinic/Center · Stamford, CT
Provider details
- NPI number
- 1720520976
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Naushad Edibam, Member(203) 325-2661
- License
- 009711 (CT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
27 Bridge St
Stamford, CT 06905-4501
Phone: (203) 325-2661
Approximate (ZIP-level) locationGet directions
Mailing address
27 Bridge St
Stamford, CT 06905-4501
Registry dates
- Enumerated
- 2016-11-04
- Last updated
- 2016-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.