South Bergen Oral Surgery PA
Dentist, Oral and Maxillofacial Surgery in Lyndhurst, New Jersey
1699833566- Practice location
- 422 Stuyvesant Ave, Lyndhurst, NJ 07071
- Phone
- 201-935-4577
- Fax
- 201-935-8893
- Last updated
- August 22, 2020
South Bergen Oral Surgery PA is a healthcare organization based in Lyndhurst, NJ. 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. 9218 (NJ). The current practice location address for South Bergen Oral Surgery PA is 422 Stuyvesant Ave, Lyndhurst, NJ 07071 and can be reached out via phone at 201-935-4577 and via fax at 201-935-8893.
Provider Profile Details
- NPI Number
- 1699833566
- Provider Name
- South Bergen Oral Surgery PA
- Provider Entity Type
- Organization
- Address
- 422 Stuyvesant Ave, Lyndhurst, NJ 07071
- Phone Number
- 201-935-4577
- Fax Number
- 201-935-8893
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Organization Subpart
- No
- Authorized Official
- Dr. James P Dilascio, DDS · President So Bergen Oral Surgery PA · 201-935-4577
- Provider Enumeration Date
- December 4, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 422 Stuyvesant Ave
Lyndhurst, NJ 07071 - City
- Lyndhurst
- State
- New Jersey
- Zip
- 07071
- Phone Number
- 201-935-4577
- Fax Number
- 201-935-8893
Provider Business Mailing Address Details
- Address
- 422 Stuyvesant Ave
Lyndhurst, NJ 07071 - City
- Lyndhurst
- State
- NJ
- Zip
- 07071
- Phone Number
- 201-935-4577
- Fax Number
- 201-935-8893
License Information
- License Number (1)
- 9218
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (2)
- 9227
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near Lyndhurst, NJ
View all Dentist, Oral and Maxillofacial Surgery providers in Lyndhurst →- Dr. Gerald P DevlinDentist, Oral and Maxillofacial Surgery · NPI 1457424137
- South Bergen Oral Maxillofacial Surgery LLCDentist, Oral and Maxillofacial Surgery · NPI 1073973939
- Dr. Richard Holsman, PT, DPT, NCSPhysical Therapist, Neurology · NPI 1164648481
- Ozturk Foot & Ankle INCPodiatrist, Foot & Ankle Surgery · NPI 1356042238
- Dr. Efe Ozturk, DPMPodiatrist, Foot & Ankle Surgery · NPI 1356802185
- Kara M Bachman, RDDietitian, Registered · NPI 1346148889
Frequently Asked Questions
What is the NPI number of South Bergen Oral Surgery PA?
The NPI number of South Bergen Oral Surgery PA is 1699833566. It was assigned on December 4, 2006 and is currently active in the NPPES registry.
What is the specialty of South Bergen Oral Surgery PA?
South Bergen Oral Surgery PA is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 9218.
Where does South Bergen Oral Surgery PA practice?
The practice location is 422 Stuyvesant Ave, Lyndhurst, NJ 07071. The office can be reached at 201-935-4577 (phone) or 201-935-8893 (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 1699833566 directly on the NPPES registry website.