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SOUTHERN NEW JERSEY ORAL SURGERY PA NPI 1538573720


NPI Information

NPI: 1538573720
Provider Name: SOUTHERN NEW JERSEY ORAL SURGERY PA
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
17 W ORMOND AVE
CHERRY HILL, NJ
ZIP 08002
Phone: (856) 428-4445
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SOUTHERN NEW JERSEY ORAL SURGERY PA is an oral and maxillofacial surgery dentist in Cherry Hill, 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. SOUTHERN NEW JERSEY ORAL SURGERY PA NPI is 1538573720. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17 W ORMOND AVE
CHERRY HILL, NJ
ZIP 08002-041
Phone: (856) 428-4445
Fax: (856) 428-4497

The provider's authorized official is Shariq Aziz Vazir .
The authorized official title is President and has the following contact phone number (856) 428-4445.

The enumeration date for this NPI number is 6/16/2014 and was last updated on 6/16/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery22DI02490200NEW JERSEYYes

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: 4/28/2024

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