Fairfield Oms LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

FAIRFIELD OMS LLC

Doing business as

Fairfield Oral Surgery

Practice address

760 Kings Hwy W BLDG B
Southport, CT 06890-3102

Phone

(203) 259-2227

NPI assigned

Jul 23, 2025

Last updated

Jul 23, 2025By 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

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Fairfield Oral Surgery Doing business as

Locations

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1437031101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 KINGS HWY W BLDG B",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068903102",
            "telephone_number": "203-259-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 KINGS HWY W BLDG B",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068903102",
            "telephone_number": "203-259-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD OMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina Dowd, RN
• Elizabeth Mary Duggan, WHNP-BC
• Ear Nose & Throat Allergy & Facial Plastic Surgery Specialists LLC
• Eye Care Associatel of Fairfield PC
• Eyecare Associates LLC
• Fairview Health of Southport, LLC
• Jillian Laur Ference, LPC, NCC
• Molly Folger, AUD
• Peggy-Sue K Forster, LMFT
• Mariana Fraga-Zapf, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Southport, CT
• Providers in Southport, 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 Jul 23, 2025; 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.