RIVERSIDE ORAL SURGERY - SOUTH PLAINFIELD NPI 1033703871

NPI Information

  • NPI: 1033703871
  • Provider Name: RIVERSIDE ORAL SURGERY - SOUTH PLAINFIELD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 1907 PARK AVE STE 201
    SOUTH PLAINFIELD, NJ
    ZIP 07080
  • Phone: (201) 487-6565

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NPI Details

RIVERSIDE ORAL SURGERY - SOUTH PLAINFIELD is an oral and maxillofacial surgery dentist in South Plainfield, 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. RIVERSIDE ORAL SURGERY - SOUTH PLAINFIELD NPI is 1033703871. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1907 PARK AVE STE 201
SOUTH PLAINFIELD, NJ
ZIP 07080-530
Phone: (201) 487-6565

The provider's authorized official is Jason M Auerbach .
The authorized official title is Owner and has the following contact phone number (201) 487-6565.

The enumeration date for this NPI number is 2/23/2021 and was last updated on 2/23/2021.

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 SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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