Simon Bangiyev Dds, Md, Pc Dba Premier Oral Surgery

Specialty details in registry · Norwalk, CT

Call (203) 939-9390 Directions

At a glance

346 Main Ave, Norwalk, CT 06851-1592

NPPES record updated Jan 20, 2017. Public records can lag behind changes at a practice.

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Practice location

346 Main Ave Suite H
Norwalk, CT 06851-1592

Professional details: NPI, taxonomy & registry record

NPI1861939456

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223S0112X
Enumeration date: Jan 20, 2017
Record updated: Jan 20, 2017

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223S0112X · Primary

License reported: 011114 CT

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

346 Main Ave
Suite H
Norwalk, CT 06851-1592

Phone: (203) 939-9390

Mailing address

346 MAIN AVE
SUITE H
NORWALK, CT 068511592

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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