Active NPIOrganization

Oral & Maxillofacial Assoc Of Nutley

Oral & Maxillofacial Surgery in Nutley, New Jersey

NPI Number1457417495
Practice location
187 Washington Avenue, Suite 1B, Nutley, NJ 07110
Fax
973-667-6653
Last updated
September 4, 2014

Oral & Maxillofacial Assoc Of Nutley is a healthcare organization based in Nutley, NJ. Oral & Maxillofacial Assoc Of Nutley practices in Nutley, NJ. The NPI Number for Oral & Maxillofacial Assoc Of Nutley is 1457417495 and holds a License No. D1017058 (NJ). The current practice location address for Oral & Maxillofacial Assoc Of Nutley is 187 Washington Avenue, Suite 1B, Nutley, NJ 07110 and can be reached out via phone at 973-667-5844 and via fax at 973-667-6653.

Provider Profile Details

NPI Number
1457417495
Provider Name
Oral & Maxillofacial Assoc Of Nutley
Provider Entity Type
Organization
Address
187 Washington Avenue, Suite 1B, Nutley, NJ 07110
Phone Number
973-667-5844
Fax Number
973-667-6653
Primary Taxonomy
Oral & Maxillofacial Surgery · 204E00000X
Organization Subpart
No
Authorized Official
Dr. Philip M Echo, DMD · Oral Surgeon · 973-667-5844
Other Names
Oral & Maxillofacial Assocciates Of Nutley, LLC (Other Name)
Provider Enumeration Date
December 27, 2006
Last Update Date
September 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
187 Washington Avenue
Suite 1B
Nutley, NJ 07110
City
Nutley
Zip
07110
Phone Number
973-667-5844
Fax Number
973-667-6653
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
187 Washington Avenue
Suite 1B
Nutley, NJ 07110
City
Nutley
State
NJ
Zip
07110
Phone Number
973-667-5844
Fax Number
973-667-6653

License Information

License Number (1)
D1017058
License State (1)
NJ
Taxonomy (1)
Oral & Maxillofacial Surgery · 204E00000X
License Number (2)
D1016959
License State (2)
NJ
Taxonomy (2)
Oral & Maxillofacial Surgery · 204E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Oral & Maxillofacial Assoc Of Nutley?

The NPI number of Oral & Maxillofacial Assoc Of Nutley is 1457417495. It was assigned on December 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Oral & Maxillofacial Assoc Of Nutley?

Oral & Maxillofacial Assoc Of Nutley is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in NJ under license number D1017058.

Where does Oral & Maxillofacial Assoc Of Nutley practice?

The practice location is 187 Washington Avenue, Suite 1B, Nutley, NJ 07110. The office can be reached at 973-667-5844 (phone) or 973-667-6653 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457417495 directly on the NPPES registry website.

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