PROGRESSIVE ORAL SURGERY LLC NPI 1568755817

NPI Information

  • NPI: 1568755817
  • Provider Name: PROGRESSIVE ORAL SURGERY LLC
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 168 FRANKLIN TPKE
    WALDWICK, NJ
    ZIP 07463
  • Phone: (201) 251-9955

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NPI Details

PROGRESSIVE ORAL SURGERY LLC is an oral and maxillofacial surgery clinic center in Waldwick, NJ. The provider is an oral and maxillofacial surgery clinic or center 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. PROGRESSIVE ORAL SURGERY LLC NPI is 1568755817. The provider is registered as an organization entity type.

The provider's business location address is:

168 FRANKLIN TPKE
WALDWICK, NJ
ZIP 07463-848
Phone: (201) 251-9955
Fax: (201) 251-9994

The provider's authorized official is Sandeep Singla .
The authorized official title is Owner and has the following contact phone number (518) 209-0524.

The enumeration date for this NPI number is 5/19/2011 and was last updated on 5/19/2011.

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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryDI102336300NEW JERSEYYes

What is NPI?

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

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