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BRANCHBURG ORAL MAXILLOFACIAL AND IMPLANT SURGERY LLC NPI 1093195562


NPI Information

NPI: 1093195562
Provider Name: BRANCHBURG ORAL, MAXILLOFACIAL AND IMPLANT SURGERY, LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3322 ROUTE 22
SUITE 1207-1208
BRANCHBURG, NJ
ZIP 08876
Phone: (908) 218-0300
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BRANCHBURG ORAL, MAXILLOFACIAL AND IMPLANT SURGERY, LLC is an oral and maxillofacial surgery dentist in Branchburg, 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. BRANCHBURG ORAL, MAXILLOFACIAL AND IMPLANT SURGERY, LLC NPI is 1093195562. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3322 ROUTE 22
SUITE 1207-1208
BRANCHBURG, NJ
ZIP 08876-476
Phone: (908) 218-0300
Fax: (908) 218-0301

The provider's authorized official is Karl Daniel Maloney .
The authorized official title is Llc Member and has the following contact phone number (917) 297-7600.

The enumeration date for this NPI number is 5/31/2015 and was last updated on 5/31/2015.


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 Surgery22DI02373700NEW 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: 5/5/2024

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