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201 Oral Surgery
Oral and Maxillofacial Surgery (Dentist) in Old Tappan, New Jersey
NPI 1073896809

201 Oral Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Old Tappan, NJ and is specialized in Oral and Maxillofacial Surgery. 201 Oral Surgery practices in Old Tappan, NJ. The NPI Number for 201 Oral Surgery is 1073896809 and holds a License No. 22DI01547211 (New Jersey).

The current practice location address for 201 Oral Surgery is 180 Old Tappan Rd, Old Tappan, NJ and can be reached out via phone at 201-767-4001.

Location: 180 Old Tappan Rd, Old Tappan, NJ, 07675-7052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073896809
Provider Name
201 Oral Surgery
Credential
Provider Entity Type
Organization
Address
180 Old Tappan Rd, Old Tappan, NJ, 07675-7052
Phone Number
201-767-4001
Fax Number
Provider Enumeration Date
09/28/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
180 Old Tappan Rd
City
Old Tappan
State
New Jersey
Zip
07675-7052
Phone Number
201-767-4001
Fax Number
person
Provider Business Mailing Address Details
Address
180 Old Tappan Rd
City
Old Tappan
State
New Jersey
Zip
07675-7052
Phone Number
201-767-4001
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
22DI01547211 (New Jersey)
Definition
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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