South Bergen Oral Surgery PA
South Bergen Oral Surgery PA is an Oral and Maxillofacial Surgery (Dentist) in Lyndhurst, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
422 Stuyvesant AveLyndhurst, NJ 07071
Phone: (201) 935-4577
Fax: (201) 935-8893
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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 9227 (NJ) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence 9218 (NJ) |
Record details
| NPI number | 1699833566 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Dilascio — President So Bergen Oral Surgery Pa · (201) 935-4577 |
| NPI enumerated | December 4, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 422 Stuyvesant Ave, Lyndhurst, NJ 07071 |
Other providers in Lyndhurst
-
Dr. Gerald Paul Devlin
422 Stuyvesant Ave, Lyndhurst, NJ 07071-2326 · (201) 935-4577
-
South Bergen Oral Maxillofacial Surgery LLC
422 Stuyvesant Ave 1st Fl, Lyndhurst, NJ 07071-2326 · (201) 935-4577