Park Avenue Dental Group

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1558733196

Park Avenue Dental Group is an Oral and Maxillofacial Surgery (Dentist) in Weehawken, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in: NJ
In the registry since: 2015

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Practice location Address checks out

3508 Park Ave
Weehawken, NJ 07086-6006
Phone: (201) 864-4730
Fax: (201) 864-4734

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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 22DI01527800 (NJ)

Record details

NPI number	1558733196
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Bruce Hirshorn — Oral Surgeon · (201) 864-4730
NPI enumerated	October 22, 2015
Last updated in NPPES	October 22, 2015
Mailing address	3508 Park Ave, Weehawken, NJ 07086-6006