Organization · Type 2 NPI

Bridge Oral-Facial Surgery and Implant Center, LLC

Oral and Maxillofacial Surgery (Dentist) · Fort Lee, NJ

NPI number 1275961815 Active

Practice location

2029 Lemoine Ave, Suite 103
Fort Lee, NJ 07024-5704

Fax (201) 585-9820

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X015109 (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.

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About NPI 1275961815

Bridge Oral-Facial Surgery and Implant Center, LLC's National Provider Identifier is 1275961815, issued on Oct 16, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Lee, NJ. The record was last updated on Oct 16, 2013.