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NORTH JERSEY ORAL MAXILLOFACIAL RECONSTRUCTION SURGERY PC NPI 1043485535


NPI Information

NPI: 1043485535
Provider Name: NORTH JERSEY ORAL MAXILLOFACIAL RECONSTRUCTION SURGERY, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
98 US HIGHWAY 46
SUITE 3
BUDD LAKE, NJ
ZIP 07828
Phone: (973) 691-8400
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NORTH JERSEY ORAL MAXILLOFACIAL RECONSTRUCTION SURGERY, PC is an oral and maxillofacial surgery dentist in Budd Lake, NJ. The provider is an oral and maxillofacial surgery dentist specialized in 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. NORTH JERSEY ORAL MAXILLOFACIAL RECONSTRUCTION SURGERY, PC NPI is 1043485535. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

98 US HIGHWAY 46
SUITE 3
BUDD LAKE, NJ
ZIP 07828
Phone: (973) 691-8400
Fax: (973) 691-8408

The provider's authorized official is John V. Vecchione .
The authorized official title is President and has the following contact phone number (973) 691-8400.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 11/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery22DI02217300NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101081MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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