Organization · Type 2 NPI

Surgery Center of Penthouse IV

Oral and Maxillofacial Surgery (Dentist) · West Orange, NJ

NPI number 1710060496 Active

Practice location

101 Old Short Hills Road
West Orange, NJ 07052

Call (973) 736-1345 Map

Fax (973) 325-3487

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

18 other providers at this address

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About NPI 1710060496

Surgery Center of Penthouse IV's National Provider Identifier is 1710060496, issued on Oct 24, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in West Orange, NJ. The record was last updated on Aug 22, 2020.