| South Bergen Oral Surgery Pa | |
|
422 Stuyvesant Ave Lyndhurst NJ 07071 | |
| (201) 935-4577 | |
| (201) 935-8893 |
| Full Name | South Bergen Oral Surgery Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 422 Stuyvesant Ave, Lyndhurst, New Jersey |
| Authorized Official Name and Position | James P Dilascio (PRESIDENT SO BERGEN ORAL SURGERY PA) |
| Authorized Official Contact | 2019354577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bergen Oral Surgery Pa 422 Stuyvesant Ave Lyndhurst NJ 07071 Ph: (201) 935-4577 | South Bergen Oral Surgery Pa 422 Stuyvesant Ave Lyndhurst NJ 07071 Ph: (201) 935-4577 |
| NPI Number | 1699833566 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699833566 | NPI | - | NPPES |
| 058001 | Other | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9227 (New Jersey) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9218 (New Jersey) | Secondary |
South Bergen Oral Maxillofacial Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 Stuyvesant Ave, 1st Floor, Lyndhurst, NJ 07071 Phone: 201-935-4577 | |
Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-438-4774 Fax: 201-438-0938 | |
Dr John P Dicamillo Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Park Avenue, Suite 2a, Lyndhurst, NJ 07071 Phone: 201-939-0549 Fax: 201-939-2470 | |
Blossom Smiles Dental Association Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 Ridge Rd, Lyndhurst, NJ 07071 Phone: 973-337-7444 | |
Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-438-4774 | |
Lyndhurst Dental Medicine, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 464 Valley Brook Ave, Lyndhurst, NJ 07071 Phone: 201-933-9092 Fax: 201-933-6690 |