| Northeast Facial And Oral Surgery Specialists, Llc | |
|
83 Hanover Rd Ste 240 Florham Park NJ 07932-1508 | |
| (973) 360-1100 | |
| (973) 360-1101 |
| Full Name | Northeast Facial And Oral Surgery Specialists, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 83 Hanover Rd Ste 240, Florham Park, New Jersey |
| Authorized Official Name and Position | Gregg A Jacob (OWNER) |
| Authorized Official Contact | 9733601100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Facial And Oral Surgery Specialists, Llc 83 Hanover Rd Ste 240 Florham Park NJ 07932-1508 Ph: (973) 360-1100 | Northeast Facial And Oral Surgery Specialists, Llc 83 Hanover Rd Ste 240 Florham Park NJ 07932-1508 Ph: (973) 360-1100 |
| NPI Number | 1831618529 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831618529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI02252800 (New Jersey) | Primary |
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