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ORAL & MAXILLOFACIAL ASSOCIATES OF MONTCLAIR NPI 1336298686


NPI Information

NPI: 1336298686
Provider Name: ORAL & MAXILLOFACIAL ASSOCIATES OF MONTCLAIR
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
54 PLYMOUTH STREET
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 746-3466
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ORAL & MAXILLOFACIAL ASSOCIATES OF MONTCLAIR is an oral maxillofacial surgery in Montclair, 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. ORAL & MAXILLOFACIAL ASSOCIATES OF MONTCLAIR NPI is 1336298686. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

54 PLYMOUTH STREET
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 746-3466
Fax: (973) 783-4157

The provider's authorized official is William G. Ranucci .
The authorized official title is Oral Surgeon and has the following contact phone number (973) 746-3466.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 12/27/2016.


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 Surgery22DI02564900NEW JERSEYNo
2204E00000XOral & Maxillofacial Surgery22DI01705800WILLIAMGNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1568639MEDICARE PINNEW JERSEY
2U53357MEDICARE UPIN

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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