# BRISTOL ORAL SURGERY & IMPLANT CENTER

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

## Provider details

- **NPI number:** 1992122956
- **Authorized official:** DR. DAVID AARON FENTON DDS, MD (OWNER / PHYSICIAN)
- **Authorized official phone:** (860) 538-3495

## Contact information

- **Practice address:** 33 HIGH ST, BRISTOL, CT 06010-5820
- **Practice address phone:** (860) 538-3495
- **Practice address fax:** (860) 645-0349
- **Mailing address:** 33 HIGH ST, BRISTOL, CT 06010-5820
- **Mailing address phone:** (860) 538-3495
- **Mailing address fax:** (860) 645-0349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9812 | CT | Yes |

## Other

- **Enumeration date:** 03/27/2014
- **Last updated:** 03/27/2014