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

Broadway Oral Surgery LLC

Organization General Practice Dentistry · NPI 1912869199

Broadway Oral Surgery LLC is a General Practice Dentistry in Newark, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
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

223 Bloomfield Ave Ste 2
Newark, NJ 07104
Phone: (973) 554-4565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1912869199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Skolnick — Owner · (908) 469-9100
NPI enumeratedNovember 26, 2025
Last updated in NPPESNovember 26, 2025
Mailing address223 Bloomfield Ave, Suite 2, Newark, NJ 07104

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