| Oral & Maxillofacial Associates Of Montclair | |
|
54 Plymouth Street Montclair NJ 07042 | |
| (973) 746-3466 | |
| (973) 783-4157 |
| Full Name | Oral & Maxillofacial Associates Of Montclair |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 54 Plymouth Street, Montclair, New Jersey |
| Authorized Official Name and Position | William G. Ranucci (ORAL SURGEON) |
| Authorized Official Contact | 9737463466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Associates Of Montclair 54 Plymouth Street Montclair NJ 07042 Ph: (973) 746-3466 | Oral & Maxillofacial Associates Of Montclair 54 Plymouth Street Montclair NJ 07042 Ph: (973) 746-3466 |
| NPI Number | 1336298686 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 12/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336298686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI02564900 (New Jersey) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 22DI01705800WILLIAMG (New Jersey) | Primary |
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