# BRISTOL DENTAL SURGERY

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

## Provider details

- **NPI number:** 1740116359
- **Authorized official:** MARKOS RAPTIS DMD (OWNER)
- **Authorized official phone:** (617) 953-3780

## Contact information

- **Practice address:** 670 EAST RD, BRISTOL, CT 06010-6845
- **Practice address phone:** (860) 836-8679
- **Mailing address:** 670 EAST RD, BRISTOL, CT 06010-6845

## 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:** 06/22/2026
- **Last updated:** 06/22/2026