Individual provider · Type 1 NPI

Fredric Carl Mazza, DMD

Oral and Maxillofacial Surgery (Dentist) · Newark, NJ

NPI number 1982853214 Active

Practice location

150 Bergen St, Uh, Dept Of Oral And Maxillofacial Surgery, Rm C-401
Newark, NJ 07103-2496

Mailing address

67 Forest Dr
Pompton Plains, NJ 07444-1516

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X22DI02379800 (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 1982853214

Fredric Carl Mazza, DMD's National Provider Identifier is 1982853214, issued on Sep 10, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Newark, NJ. The record was last updated on Feb 1, 2010.