201 Oral Surgery
201 Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Old Tappan, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.
- Licensed in
- NJ
- In the registry since
- 2011
- Specialties on file
- 3
Practice location Address checks out
180 Old Tappan RdOld Tappan, NJ 07675-7052
Phone: (201) 767-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 22DI02332400 (NJ) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence 22DI01547211 (NJ) |
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence 22DI01805400 (NJ) |
Record details
| NPI number | 1073896809 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Suzanne Waltke — Office Manager · (201) 767-4001 |
| NPI enumerated | September 28, 2011 |
| Last updated in NPPES | September 28, 2011 |
| Mailing address | 180 Old Tappan Rd, Old Tappan, NJ 07675-7052 |
Other providers in Old Tappan
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Dr. Carl Paul Waltke, DMD
180 Old Tappan Rd, Old Tappan, NJ 07675-7052 · (201) 767-4001