Stamford Oral & Maxillofacial Surgery Assoc PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

STAMFORD ORAL & MAXILLOFACIAL SURGERY ASSOC PC

Practice address

27 Bridge Street
Stamford, CT 06905-4597

Phone

(203) 325-2661

Fax

(203) 323-5611

NPI assigned

Oct 3, 2007

Last updated

Oct 3, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Donald J Case, DMDNPI 1194894097

Title

Pres

Phone

(203) 325-2661

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Joseph Case, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Stamford, CT
  • NPI 1194894097
  NPD (past) Authorized official
• Naushad Ratan Edibam, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Mansfield Center, CT
  • NPI 1982802294
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1063609105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BRIDGE STREET",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054597",
            "telephone_number": "203-325-2661",
            "fax_number": "203-323-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BRIDGE STREET",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054597",
            "telephone_number": "203-325-2661",
            "fax_number": "203-323-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD ORAL & MAXILLOFACIAL SURGERY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "203-325-2661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stamford Nephrology, P.C.
• Stamford Neurological Associates PC
• Stamford OBGYN Associates, PC
• Stamford Ophthalmology, LLC
• Stamford Ophthalmology, LLC
• Stamford Oral and Maxillofacial Surgical Arts LLC
• Stamford Pathology Group PC
• Stamford Pediatric Associates, P.C.
• Stamford Pediatric Dentistry, LLC (Long Ridge Dental Group)
• Stamford Physical Medicine PC

• Oral and Maxillofacial Surgery (Dentist) in Stamford, CT
• Providers in Stamford, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.