# STAMFORD ORAL & MAXILLOFACIAL SURGERY ASSOC PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063609105
- **Authorized official:** DR. DONALD J CASE DMD (PRES)
- **Authorized official phone:** (203) 325-2661

## Contact information

- **Practice address:** 27 BRIDGE STREET, STAMFORD, CT 06905-4597
- **Practice address phone:** (203) 325-2661
- **Practice address fax:** (203) 323-5611
- **Mailing address:** 27 BRIDGE STREET, STAMFORD, CT 06905-4597
- **Mailing address phone:** (203) 325-2661
- **Mailing address fax:** (203) 323-5611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2007
- **Last updated:** 10/03/2007