| New Jersey Center For Oral Surgery, Llc | |
|
16 Smull Ave Caldwell NJ 07006-5012 | |
| (973) 226-8444 | |
| Not Available |
| Full Name | New Jersey Center For Oral Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 16 Smull Ave, Caldwell, New Jersey |
| Authorized Official Name and Position | Michael H. Kirsch (OWNER) |
| Authorized Official Contact | 9732268444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Center For Oral Surgery, Llc 16 Smull Ave Caldwell NJ 07006-5012 Ph: (973) 226-8444 | New Jersey Center For Oral Surgery, Llc 16 Smull Ave Caldwell NJ 07006-5012 Ph: (973) 226-8444 |
| NPI Number | 1164592986 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164592986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DI18631 (New Jersey) | Primary |
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