Organization · Type 2 NPI
South Bergen Oral Maxillofacial Surgery LLC
Oral and Maxillofacial Surgery (Dentist) · Lyndhurst, NJ
NPI number
1073973939
Active
Practice location
422 Stuyvesant Ave, 1st Floor
Lyndhurst, NJ 07071-2326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 22DI02285405 (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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Lyndhurst
About NPI 1073973939
South Bergen Oral Maxillofacial Surgery LLC's National Provider Identifier is 1073973939, issued on Mar 4, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lyndhurst, NJ. The record was last updated on Mar 4, 2016.