Individual provider · Type 1 NPI

Ivan Georgiev Georgiev, DMD

Oral and Maxillofacial Surgery (Dentist) · Paterson, NJ

NPI number 1508206533 Active

Practice location

703 Main St, Omfs Clinic
Paterson, NJ 07503-2621

Mailing address

9-12 Henderson Blvd, 1st. Fl.
Fair Lawn, NJ 07410-1536

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X22DR02616 (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 1508206533

Ivan Georgiev Georgiev, DMD's National Provider Identifier is 1508206533, issued on Jul 5, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Paterson, NJ. The record was last updated on Jul 5, 2013.