SHORE ORAL MAXILLO SURGERY GROUP PA is an oral and maxillofacial surgery dentist in Lakewood, 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. SHORE ORAL MAXILLO SURGERY GROUP PA NPI is 1619104015. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
301 MADISON AVE
LAKEWOOD, NJ
ZIP 08701-266
Phone: (732) 367-4042
Fax: (732) 905-9210
The provider's authorized official is Richard L Gaines .
The authorized official title is Ower and has the following contact phone number (732) 367-4042.
The enumeration date for this NPI number is 6/12/2009 and was last updated on 6/12/2009.