# GARY FISHBEIN DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East of the River Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629595145
- **Authorized official:** DR. GARY TODD FISHBEIN DMD (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (860) 872-8331

## Contact information

- **Practice address:** 281 HARTFORD TPKE STE 307, VERNON, CT 06066-4707
- **Practice address phone:** (860) 872-8331
- **Mailing address:** 281 HARTFORD TPKE STE 307, VERNON, CT 06066-4707
- **Mailing address phone:** (860) 872-8331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 11333 | CT | Yes |

## Other

- **Enumeration date:** 08/25/2017
- **Last updated:** 08/25/2017