# STAMFORD IMPLANT & ORAL SURGERY CENTER, PLLC

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

## Provider details

- **NPI number:** 1649135138
- **Authorized official:** DR. SIMON Y BANGIYEV DDS, MD. (PRESIDENT)
- **Authorized official phone:** (203) 939-9390

## Contact information

- **Practice address:** 999 SUMMER ST STE 300, STAMFORD, CT 06905-5513
- **Practice address phone:** (203) 303-9693
- **Mailing address:** 999 SUMMER ST STE 300, STAMFORD, CT 06905-5513
- **Mailing address phone:** (203) 303-9693

## 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:** 12/17/2025
- **Last updated:** 12/17/2025