Elite Oral & Maxillofacial Surgery

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1578839262

Elite Oral & Maxillofacial Surgery is an Oral & Maxillofacial Surgery (D.M.D.) in Wayne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in: NJ
In the registry since: 2012

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Practice location Address checks out

246 Hamburg Tpke Ste 304
Wayne, NJ 07470-2156
Phone: (973) 732-4555
Fax: (973) 732-4556

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary)	Taxonomy 204E00000X · Licence 22DI02332400 (NJ)

Record details

NPI number	1578839262
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Shahin Ghobadi — Owner/Oral Surgeon · (973) 732-4555
NPI enumerated	March 27, 2012
Last updated in NPPES	March 27, 2012
Mailing address	246 Hamburg Tpke, Suite 304, Wayne, NJ 07470-2156