Organization · Type 2 NPI

Garden State Oral & Maxillofacial Surgery, LLC

Oral and Maxillofacial Surgery (Dentist) · Elmwood Park, NJ

NPI number 1104249226 Active

Practice location

1 Broadway, Suite 101
Elmwood Park, NJ 07407-1842

Fax (201) 794-0454

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDI15847 (NJ)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDI21870 (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.

24 other providers at this address

About NPI 1104249226

Garden State Oral & Maxillofacial Surgery, LLC's National Provider Identifier is 1104249226, issued on Jan 24, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Elmwood Park, NJ. The record was last updated on Jan 24, 2014.