| Edison-clark Oral Surgery Associates | |
|
1857 Oak Tree Rd Edison NJ 08820-2779 | |
| (732) 548-7824 | |
| (732) 548-2051 |
| Full Name | Edison-clark Oral Surgery Associates |
|---|---|
| Speciality | Dentist |
| Location | 1857 Oak Tree Rd, Edison, New Jersey |
| Authorized Official Name and Position | Frayda Kleiman (OFFICE MANAGER) |
| Authorized Official Contact | 7325487824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edison-clark Oral Surgery Associates 1857 Oak Tree Rd Edison NJ 08820-2779 Ph: (732) 548-7824 | Edison-clark Oral Surgery Associates 1857 Oak Tree Rd Edison NJ 08820-2779 Ph: (732) 548-7824 |
| NPI Number | 1568522993 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5193758803 |
|---|---|
| Medicare Enrollment ID | O20050919000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568522993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Glenn Regenye |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992778054 PECOS PAC ID: 2062576812 Enrollment ID: I20090123000212 |
| Provider Name | Michael Alan Kleiman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255363883 PECOS PAC ID: 6800829987 Enrollment ID: I20101012000112 |
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