Healthcare Provider Details

I. General information

NPI: 1821207994
Provider Name (Legal Business Name): AESTHETIC & MAXILLOFACIAL SURGERY CENTER OF DARIEN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BOSTON POST RD SUITE 101
DARIEN CT
06820
US

IV. Provider business mailing address

PO BOX 95
DARIEN CT
06820
US

V. Phone/Fax

Practice location:
  • Phone: 203-656-4466
  • Fax: 203-656-4467
Mailing address:
  • Phone: 203-656-4466
  • Fax: 203-656-4467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberJCAHO 339920
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberJCAHO339920
License Number State

VIII. Authorized Official

Name: DR. CHRISTINE LOUISE HAMILTON
Title or Position: PRESIDENT
Credential: MD, DMD
Phone: 203-656-4466