Individual provider · Type 1 NPI
Gerard Matthew Mirkov, DMD
Oral and Maxillofacial Surgery (Dentist) · Montclair, NJ
NPI number
1720203847
Active
Practice location
89 Park Street
Montclair, NJ 07042
Fax (973) 744-3114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 17326 (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.
Other oral and maxillofacial surgery (dentist) providers in Montclair
About NPI 1720203847
Gerard Matthew Mirkov, DMD's National Provider Identifier is 1720203847, issued on Apr 16, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Montclair, NJ. The record was last updated on Jul 8, 2007.