# FACIAL SURGERY CENTER

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

## Provider details

- **NPI number:** 1336496454
- **Authorized official:** DR. SALVATORE J FLORIO D.D.S., M.D. (PRESIDENT ORAL AND MAXILLOFACIAL SU)
- **Authorized official phone:** (203) 261-7800

## Contact information

- **Practice address:** 115 TECHNOLOGY DR, B101, TRUMBULL, CT 06611-6337
- **Practice address phone:** (203) 261-7800
- **Practice address fax:** (203) 261-8778
- **Mailing address:** 115 TECHNOLOGY DR, B101, TRUMBULL, CT 06611-6337
- **Mailing address phone:** (203) 261-7800
- **Mailing address fax:** (203) 261-8778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 8215 | CT | Yes |

## Other

- **Enumeration date:** 08/08/2012
- **Last updated:** 11/28/2012