WARREN ORAL & MAXILLOFACIAL SURGERY CENTER LLC NPI 1770749426

NPI Information

  • NPI: 1770749426
  • Provider Name: WARREN ORAL & MAXILLOFACIAL SURGERY CENTER, LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 31 MOUNTAIN BLVD BLDG T
    WARREN, NJ
    ZIP 07059
  • Phone: (908) 222-7922

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NPI Details

WARREN ORAL & MAXILLOFACIAL SURGERY CENTER, LLC is an oral and maxillofacial surgery dentist in Warren, 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. WARREN ORAL & MAXILLOFACIAL SURGERY CENTER, LLC NPI is 1770749426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31 MOUNTAIN BLVD BLDG T
WARREN, NJ
ZIP 07059-648
Phone: (908) 222-7922
Fax: (908) 222-7923

The provider's authorized official is Daniel Peter Sullivan .
The authorized official title is Oral Surgeon/ Partner and has the following contact phone number (908) 222-7922.

The enumeration date for this NPI number is 8/1/2008 and was last updated on 8/1/2008.

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 Surgery02036700NEW JERSEYYes

What is NPI?

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This page was last updated on: 3/30/2025

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