Individual provider · Type 1 NPI

Jonathon S. Sasportas, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Mercerville, NJ

NPI number 1407942469 Active

Practice location

2303 Whitehorse Mercerville Rd, Omscnj
Mercerville, NJ 08619-1931

Fax (609) 587-1749

Mailing address

2303 Whitehorse Mercerville Road
Mercerville, NJ 08619-1994

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X22DI01840202 (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 1407942469

Jonathon S. Sasportas, DMD, MD's National Provider Identifier is 1407942469, issued on Oct 5, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mercerville, NJ. The record was last updated on Aug 1, 2008.