Organization · Type 2 NPI
Park Avenue Dental Group
Oral and Maxillofacial Surgery (Dentist) · Weehawken, NJ
NPI number
1558733196
Active
Practice location
3508 Park Ave
Weehawken, NJ 07086-6006
Fax (201) 864-4734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 22DI01527800 (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.
4 other providers at this address
About NPI 1558733196
Park Avenue Dental Group's National Provider Identifier is 1558733196, issued on Oct 22, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Weehawken, NJ. The record was last updated on Oct 22, 2015.