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Riverside Oral Surgery - Livingston
Oral and Maxillofacial Surgery (Dentist) in Livingston, New Jersey
NPI 1255826939

Riverside Oral Surgery - Livingston is a Oral and Maxillofacial Surgery (Dentist) based in River Edge, NJ and is specialized in Oral and Maxillofacial Surgery. Riverside Oral Surgery - Livingston practices in Livingston, NJ. The NPI Number for Riverside Oral Surgery - Livingston is 1255826939 and holds a License No. 22DI02584805 (New Jersey).

The current practice location address for Riverside Oral Surgery - Livingston is 340 E Northfield Rd Ste 1C, Livingston, NJ and can be reached out via phone at 973-992-4750.

Location: 340 E Northfield Rd Ste 1C, Livingston, NJ, 07661-1931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255826939
Provider Name
Riverside Oral Surgery - Livingston
Credential
Provider Entity Type
Organization
Address
340 E Northfield Rd Ste 1C, Livingston, NJ, 07661-1931
Phone Number
973-992-4750
Fax Number
Provider Enumeration Date
06/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22DI02584805 01 NJ STATE DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
340 E Northfield Rd Ste 1C
City
Livingston
State
New Jersey
Zip
07039-4892
Phone Number
973-992-4750
Fax Number
person
Provider Business Mailing Address Details
Address
340 E Northfield Rd Ste 1C
City
Livingston
State
New Jersey
Zip
07039-4892
Phone Number
973-992-4750
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
22DI02584805 (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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