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Contact Information

ORAL & MAXILLOFACIAL ASSOCIATES OF MONTCLAIR
54 PLYMOUTH STREET
MONTCLAIR, NJ07042
 Phone: 973-746-3466
 Fax: 973-783-4157
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for ORAL MAXILLOFACIAL ASSOCIATES OF MONTCLAIR · (Female)

NPI Number 1336298686
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2007
Last updated 12/27/2016 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 22DI01705800WILLIAMG
  • NJ License # 22DI02564900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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