Individual provider · Type 1 NPI
Mark Durante, DDS
Oral and Maxillofacial Surgery (Dentist) · Berkeley Heights, NJ
NPI number
1215158076
Active
Practice location
261 Springfield Avenue, Suite 203
Berkeley Heights, NJ 07922
Fax (908) 464-8215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 22DI01381600 (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.
About NPI 1215158076
Mark Durante, DDS's National Provider Identifier is 1215158076, issued on May 1, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Berkeley Heights, NJ. The record was last updated on Oct 7, 2007.