Organization · Type 2 NPI

Bethel Oral Surgery LLC

Oral and Maxillofacial Surgery (Dentist) · Fort Lee, NJ

NPI number 1780992958 Active

Practice location

1319 Anderson Ave, Suite #D
Fort Lee, NJ 07024-1770

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X20618 (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 1780992958

Bethel Oral Surgery LLC's National Provider Identifier is 1780992958, issued on Sep 21, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Lee, NJ. The record was last updated on Sep 21, 2010.