Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
Active
Organization
PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
Active
Parent organization
PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
Authorized official
DR. SIMON BANGIYEV DDS, MD. (PRESIDENT)
(203) 960-1960
Entity
Organization
Contact information
Practice address
324 ELM ST STE 201A, MONROE, CT 06468-2282
(203) 690-1960
Mailing address
324 ELM ST STE 201A, MONROE, CT 06468-2282
(203) 690-1960
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers