Organization · Type 2 NPI
Jonathan Dental Spa at the Center for Cosmetic & Implant Dentistry LLC
Oral and Maxillofacial Surgery (Dentist) · Hawthorne, NJ
NPI number
1295480663
Active
Practice location
1111 Goffle Rd
Hawthorne, NJ 07506-2025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
| Dental Clinic/Center | 261QD0000X | None listed |
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
About NPI 1295480663
Jonathan Dental Spa at the Center for Cosmetic & Implant Dentistry LLC's National Provider Identifier is 1295480663, issued on Feb 15, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hawthorne, NJ. The record was last updated on Feb 15, 2022.