Individual provider · Type 1 NPI

Odai Abushanab, DMD

Oral and Maxillofacial Surgery (Dentist) · Newark, NJ

NPI number 1053818302 Active

Practice location

110 Bergen St
Newark, NJ 07103-2495

Mailing address

82 Smithtown Rd
Budd Lake, NJ 07828-1932

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X22DI02760901 (NJ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1053818302

Odai Abushanab, DMD's National Provider Identifier is 1053818302, issued on Apr 11, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Newark, NJ. The record was last updated on Jun 4, 2024.