Individual provider · Type 1 NPI

Souren Hajjar

Oral and Maxillofacial Surgery (Dentist) · Newark, NJ

NPI number 1174059679 Active

Practice location

110 Bergen St, Room B854
Newark, NJ 07101-1709

Call (973) 972-3126 Map

Mailing address

110 Bergen St Rm B-854
Newark, NJ 07103-2495

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XDN29069 (FL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN29069 (FL)

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 1174059679

Souren Hajjar's National Provider Identifier is 1174059679, issued on May 4, 2017. 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 Jul 11, 2024.