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Dr. Laurence David Sussman, DDS
Oral and Maxillofacial Surgery (Dentist) in Matawan, New Jersey
NPI 1912948746

Laurence David Sussman is a Oral and Maxillofacial Surgery (Dentist) based in Colts Neck, NJ and is specialized in Oral and Maxillofacial Surgery. Laurence David Sussman practices in Matawan, NJ and has the professional credentials of DDS. The NPI Number for Laurence David Sussman is 1912948746 and holds a License No. 12856 (New Jersey).

The current practice location address for Laurence David Sussman is 158 Main St, Matawan, NJ and can be reached out via phone at 732-566-7648 and via fax at 732-566-1919.

Location: 158 Main St, Matawan, NJ, 07722-1363
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912948746
Provider Name
Laurence David Sussman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
158 Main St, Matawan, NJ, 07722-1363
Phone Number
732-566-7648
Fax Number
732-566-1919
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12856 01 NJ NJ LICENCE NUMBER
institution
Provider Business Practice Location Address Details
Address
158 Main St
City
Matawan
State
New Jersey
Zip
07747-4104
Phone Number
732-566-7648
Fax Number
732-566-1919
person
Provider Business Mailing Address Details
Address
158 Main St
City
Matawan
State
New Jersey
Zip
07747-4104
Phone Number
732-566-7648
Fax Number
732-566-1919
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12856 (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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