Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethel Oral Surgery LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1780992958

Bethel Oral Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1319 Anderson Ave Ste #D
Fort Lee, NJ 07024-1770
Phone: (201) 969-8888
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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 20618 (NJ)

Record details

NPI number1780992958
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Kim — Owner · (201) 969-8888
Other names Bethel Oral Surgery
NPI enumeratedSeptember 21, 2010
Last updated in NPPESSeptember 21, 2010
Mailing address1319 Anderson Ave, Suite #D, Fort Lee, NJ 07024-1770

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