Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Greenwich Oral and Maxillofacial Surgery Associates, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1073633426

Greenwich Oral and Maxillofacial Surgery Associates, PC is an Oral and Maxillofacial Surgery (Dentist) in Greenwich, Connecticut. Licensed in Connecticut and New York. Registered with an NPI since 2007.

Licensed in
CT, NY
In the registry since
2007
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23 Maple Ave
Greenwich, CT 06830-5620
Phone: (203) 661-5858
Fax: (203) 661-1159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 6237 (CT)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 049719-1 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 009552 (CT)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 7023 (CT)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 040760 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 033181 (NY)

Record details

NPI number1073633426
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Brody — President · (203) 661-5858
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address23 Maple Ave, Greenwich, CT 06830-5620

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