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BETHEL ORAL SURGERY LLC NPI 1780992958


NPI Information

NPI: 1780992958
Provider Name: BETHEL ORAL SURGERY LLC

Doing Business As: BETHEL ORAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1319 ANDERSON AVE
SUITE #D
FORT LEE, NJ
ZIP 07024
Phone: (201) 969-8888
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BETHEL ORAL SURGERY LLC is an oral and maxillofacial surgery dentist in Fort Lee, 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. BETHEL ORAL SURGERY LLC NPI is 1780992958. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bethel Oral Surgery.

The provider's business location address is:

1319 ANDERSON AVE
SUITE #D
FORT LEE, NJ
ZIP 07024-770
Phone: (201) 969-8888

The provider's authorized official is Andrew Kim .
The authorized official title is Owner and has the following contact phone number (201) 969-8888.

The enumeration date for this NPI number is 9/21/2010 and was last updated on 9/21/2010.


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 Surgery20618NEW 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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