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Dr. Gerard Matthew Mirkov, DMD
Oral and Maxillofacial Surgery (Dentist) in Montclair, New Jersey
NPI 1720203847

Gerard Matthew Mirkov is a Oral and Maxillofacial Surgery (Dentist) based in Montclair, NJ and is specialized in Oral and Maxillofacial Surgery. Gerard Matthew Mirkov practices in Montclair, NJ and has the professional credentials of DMD. The NPI Number for Gerard Matthew Mirkov is 1720203847 and holds a License No. 17326 (New Jersey).

The current practice location address for Gerard Matthew Mirkov is 89 Park Street, Montclair, NJ and can be reached out via phone at 973-746-6200 and via fax at 973-744-3114.

Location: 89 Park Street, Montclair, NJ, 07042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720203847
Provider Name
Gerard Matthew Mirkov
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
89 Park Street, Montclair, NJ, 07042
Phone Number
973-746-6200
Fax Number
973-744-3114
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5619904 05 NJ
institution
Provider Business Practice Location Address Details
Address
89 Park Street
City
Montclair
State
New Jersey
Zip
07042
Phone Number
973-746-6200
Fax Number
973-744-3114
person
Provider Business Mailing Address Details
Address
89 Park Street
City
Montclair
State
New Jersey
Zip
07042
Phone Number
973-746-6200
Fax Number
973-744-3114
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
17326 (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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