# ORAL SURGEONS ASSOCIATES, P.C

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

## Provider details

- **NPI number:** 1639352396
- **Authorized official:** DR. ALAN R RISSOLO D.M.D (PRESIDENT)
- **Authorized official phone:** (203) 853-0500

## Contact information

- **Practice address:** 10 MOTT AVE, NORWALK, CT 06850-3320
- **Practice address phone:** (203) 853-0500
- **Practice address fax:** (203) 853-0501
- **Mailing address:** 10 MOTT AVE, NORWALK, CT 06850-3320
- **Mailing address phone:** (203) 853-0500
- **Mailing address fax:** (203) 853-0501

## 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:** 12/17/2007
- **Last updated:** 12/17/2007