Organization
STAMFORD IMPLANT & ORAL SURGERY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON Y BANGIYEV DDS, MD. (PRESIDENT)
(203) 939-9390
Entity
Organization
Contact information
Practice address
999 SUMMER ST STE 300, STAMFORD, CT 06905-5513
(203) 303-9693
Mailing address
999 SUMMER ST STE 300, STAMFORD, CT 06905-5513
(203) 303-9693
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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