Provider Type Icon

RIDGEWOOD ORAL SURGERY CENTER LLC NPI 1659944601


NPI Information

NPI: 1659944601
Provider Name: RIDGEWOOD ORAL SURGERY CENTER LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
385 S MAPLE AVE STE 207
GLEN ROCK, NJ
ZIP 07452
Phone: (201) 444-5355
Get Directions

RIDGEWOOD ORAL SURGERY CENTER LLC is an oral and maxillofacial surgery dentist in Glen Rock, 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. RIDGEWOOD ORAL SURGERY CENTER LLC NPI is 1659944601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

385 S MAPLE AVE STE 207
GLEN ROCK, NJ
ZIP 07452-545
Phone: (201) 444-5355

The provider's authorized official is Mike Cole .
The authorized official title is Vp Insurance Plan Management and has the following contact phone number (727) 424-2990.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 7/19/2021.


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 SurgeryYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.