# SOUTHERN CONNECTICUT ORAL & MAXILLOFACIAL SURGERY & IMPLANTOLOGY

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

## Provider details

- **NPI number:** 1285173146
- **Authorized official:** DR. HARRISON G LINSKY DDS, MD (OWNER)
- **Authorized official phone:** (914) 251-0313

## Contact information

- **Practice address:** 1177 SUMMER ST, 4TH FLOOR, STAMFORD, CT 06905-5572
- **Practice address phone:** (914) 251-0313
- **Practice address fax:** (914) 251-0565
- **Mailing address:** 1177 SUMMER ST, 4TH FLOOR, STAMFORD, CT 06905-5572
- **Mailing address phone:** (914) 251-0313
- **Mailing address fax:** (914) 251-0565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 11729 | CT | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 11731 | CT | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017