ELITE ORAL & MAXILLOFACIAL SURGERY NPI 1578839262

NPI Details

ELITE ORAL & MAXILLOFACIAL SURGERY is an oral maxillofacial surgery in Wayne, NJ. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. ELITE ORAL & MAXILLOFACIAL SURGERY NPI is 1578839262. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

246 HAMBURG TPKE
SUITE 304
WAYNE, NJ
ZIP 07470-156
Phone: (973) 732-4555
Fax: (973) 732-4556

The provider's authorized official is Shahin Ghobadi .
The authorized official title is Owner/oral Surgeon and has the following contact phone number (973) 732-4555.

The enumeration date for this NPI number is 3/27/2012 and was last updated on 3/27/2012.

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: