Individual provider · Type 1 NPI

Laurence David Sussman, DDS

Oral and Maxillofacial Surgery (Dentist) · Matawan, NJ

NPI number 1912948746 Active

Practice location

158 Main St
Matawan, NJ 07747-4104

Fax (732) 566-1919

Mailing address

21 Liberty Knls
Colts Neck, NJ 07722-1363

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12856 (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 1912948746

Laurence David Sussman, DDS's National Provider Identifier is 1912948746, issued on Jun 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Matawan, NJ. The record was last updated on Mar 7, 2023.