Associated Oral and Maxillofacial Surgeons
Organization Active NPI Oral & Maxillofacial Surgery (D.M.D.) · Danbury, CT
NPI 1992916787 · NPPES record last updated Jul 17, 2019
Key facts
- NPI
- 1992916787
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.) 204E00000X
- Legal business name
- ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS
- Practice address
- 107 Newtown Rd.
Suite 1a
Danbury, CT 06810 - Phone
- (203) 797-0012
- Fax
- (203) 797-0123
- NPI assigned
- May 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Roger Badwal, DMD, MD
- Title
- President
- Phone
- (203) 797-0012
Practitioners 2
-
Andrew Ragona, DDS
National Provider Directory
Locations
107 Newtown Rd
Ste 1A
Danbury, CT 06810
Phone (203) 797-0012
901 Ethan Allen Hwy
Ste 203
Ridgefield, CT 06877
Phone (203) 431-6357
1 Pomperaug Office Park
Ste 105
Southbury, CT 06488
Phone (203) 262-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) |
204E00000X | Yes |
Addresses
Primary practice location
107 Newtown Rd.
Suite 1a
Danbury, CT 06810
Mailing address
107 Newtown Rd
Suite 1a
Danbury, CT 06810-4146
Phone (203) 797-0012
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001364190 | Medicaid | CT |
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All providers in Danbury, CT · Oral & Maxillofacial Surgery (D.M.D.) in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.