Organization · Type 2 NPI
Oral and Maxillofacial Assoc of Nutley
Oral and Maxillofacial Surgery (Dentist) · Nutley, NJ
Practice location
244 Chestnut St
Nutley, NJ 07110-4318
Fax (973) 667-6653
Mailing address
244 Chestnut Street
Nutley, NJ 07110-4318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 16959 (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.
About NPI 1811088701
Oral and Maxillofacial Assoc of Nutley's National Provider Identifier is 1811088701, issued on Sep 27, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Nutley, NJ. The record was last updated on Aug 22, 2020.