institution
South Bergen Oral Maxillofacial Surgery Llc
Oral and Maxillofacial Surgery (Dentist) in Lyndhurst, New Jersey
NPI 1073973939

South Bergen Oral Maxillofacial Surgery Llc is a Oral and Maxillofacial Surgery (Dentist) based in Lyndhurst, NJ and is specialized in Oral and Maxillofacial Surgery. South Bergen Oral Maxillofacial Surgery Llc practices in Lyndhurst, NJ. The NPI Number for South Bergen Oral Maxillofacial Surgery Llc is 1073973939 and holds a License No. 22DI02285405 (New Jersey).

The current practice location address for South Bergen Oral Maxillofacial Surgery Llc is 422 Stuyvesant Ave, Lyndhurst, NJ and can be reached out via phone at 201-935-4577.

Location: 422 Stuyvesant Ave, Lyndhurst, NJ, 07071-2326
institution
Provider Profile Details
NPI Number
1073973939
Provider Name
South Bergen Oral Maxillofacial Surgery Llc
Credential
Provider Entity Type
Organization
Address
422 Stuyvesant Ave, Lyndhurst, NJ, 07071-2326
Phone Number
201-935-4577
Fax Number
Provider Enumeration Date
03/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
422 Stuyvesant Ave
City
State
Zip
07071-2326
Phone Number
201-935-4577
Fax Number
person
Provider Business Mailing Address Details
Address
422 Stuyvesant Ave
City
State
Zip
07071-2326
Phone Number
201-935-4577
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
22DI02285405 (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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