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South Bergen Oral Surgery Pa
Oral and Maxillofacial Surgery (Dentist) in Lyndhurst, New Jersey
NPI 1699833566

South Bergen Oral Surgery Pa is a Oral and Maxillofacial Surgery (Dentist) based in Lyndhurst, NJ and is specialized in Oral and Maxillofacial Surgery. South Bergen Oral Surgery Pa practices in Lyndhurst, NJ. The NPI Number for South Bergen Oral Surgery Pa is 1699833566 and holds a License No. 9227 (New Jersey).

The current practice location address for South Bergen Oral Surgery Pa is 422 Stuyvesant Ave, Lyndhurst, NJ and can be reached out via phone at 201-935-4577 and via fax at 201-935-8893.

Location: 422 Stuyvesant Ave, Lyndhurst, NJ, 07071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699833566
Provider Name
South Bergen Oral Surgery Pa
Credential
Provider Entity Type
Organization
Address
422 Stuyvesant Ave, Lyndhurst, NJ, 07071
Phone Number
201-935-4577
Fax Number
201-935-8893
Provider Enumeration Date
12/04/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
058001 01 MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
422 Stuyvesant Ave
City
Lyndhurst
State
New Jersey
Zip
07071
Phone Number
201-935-4577
Fax Number
201-935-8893
person
Provider Business Mailing Address Details
Address
422 Stuyvesant Ave
City
Lyndhurst
State
New Jersey
Zip
07071
Phone Number
201-935-4577
Fax Number
201-935-8893
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
9227 (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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