Organization · Type 2 NPI

Riverside Oral Surgery- Englewood LLC

Oral and Maxillofacial Surgery (Dentist) · Englewood, NJ

NPI number 1962912832 Active

Practice location

300 Grand Ave Ste 102
Englewood, NJ 07631-6300

Fax (201) 487-4229

Mailing address

130 Kinderkamack Rd Ste 204
River Edge, NJ 07661-1931

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.

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About NPI 1962912832

Riverside Oral Surgery- Englewood LLC's National Provider Identifier is 1962912832, issued on Oct 5, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Englewood, NJ. The record was last updated on Feb 23, 2021.