| Center For Oral And Maxillofacial Surgery | |
|
1125 State Route 35 Ocean NJ 07712-4043 | |
| (732) 531-8700 | |
| (732) 531-8775 |
| Full Name | Center For Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 1125 State Route 35, Ocean, New Jersey |
| Authorized Official Name and Position | Ruben A. Martinez (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7325318700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Oral And Maxillofacial Surgery 1125 State Route 35 Ocean NJ 07712-4043 Ph: (732) 531-8700 | Center For Oral And Maxillofacial Surgery 1125 State Route 35 Ocean NJ 07712-4043 Ph: (732) 531-8700 |
| NPI Number | 1134320708 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 11/11/2008 |
| Medicare PECOS PAC ID | 4981659489 |
|---|---|
| Medicare Enrollment ID | O20050317000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134320708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Nam Park |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326293614 PECOS PAC ID: 4789808791 Enrollment ID: I20140613000999 |
| Provider Name | Akeyla Brown |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1871913608 PECOS PAC ID: 2961767785 Enrollment ID: I20180529001435 |
| Provider Name | Harleen Kaur |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1902293897 PECOS PAC ID: 3476862129 Enrollment ID: I20200827002794 |
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