Organization · Type 2 NPI
Elizabeth Oral and Maxillofacial Surgical Group LLC
Oral and Maxillofacial Surgery (Dentist) · Elizabeth, NJ
NPI number
1477707628
Active
Practice location
429 Westfield Ave
Elizabeth, NJ 07208-1620
Fax (908) 289-3421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 22DI00789900 (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 1477707628
Elizabeth Oral and Maxillofacial Surgical Group LLC's National Provider Identifier is 1477707628, issued on Nov 13, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Elizabeth, NJ. The record was last updated on Nov 13, 2008.