# CENTER FOR ORAL & IMPLANT SURGERY, P.C

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

## Provider details

- **NPI number:** 1457542664
- **Authorized official:** DR. MICHAEL J SAFIAN (OWNER)
- **Authorized official phone:** (203) 925-8700

## Contact information

- **Practice address:** 2 TRAP FALLS RD, SUITE 103, SHELTON, CT 06484-4616
- **Practice address phone:** (203) 925-8700
- **Practice address fax:** (203) 925-8770
- **Mailing address:** 2 TRAP FALLS RD, SUITE 103, SHELTON, CT 06484-4616
- **Mailing address phone:** (203) 925-8700
- **Mailing address fax:** (203) 925-8770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 008660 | CT | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 08/05/2007