Organization · Type 2 NPI
201 Oral Surgery
Oral and Maxillofacial Surgery (Dentist) · Old Tappan, NJ
NPI number
1073896809
Active
Practice location
180 Old Tappan Rd
Old Tappan, NJ 07675-7052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI01547211 (NJ) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 22DI02332400 (NJ) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI01805400 (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.
5 other providers at this address
- David Jenkins, P.a.Orthodontics and Dentofacial Orthopedics Dentistry Old Tappan, NJ NPI 1023161007
- Kelli Brady DDS LLCDentist Old Tappan, NJ NPI 1548507643
- Carl Paul Waltke, DMDOral and Maxillofacial Surgery (Dentist) Old Tappan, NJ NPI 1871671016
- David Jenkins, DMD, M.S.D.Orthodontics and Dentofacial Orthopedics Dentistry Old Tappan, NJ NPI 1114070190
- Krista S. Fisher, DMDGeneral Practice Dentistry Old Tappan, NJ NPI 1861520843
About NPI 1073896809
201 Oral Surgery's National Provider Identifier is 1073896809, issued on Sep 28, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Old Tappan, NJ. The record was last updated on Sep 28, 2011.