Lookup NPI Numbers from the NPI Registry
NPI Profile for BROADWAY ORAL SURGERY LLC in PATERSON, NJ.
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Orthodontics and Dentofacial Orthopedics |
1223X0400X | |||
Pediatric Dentistry |
1223P0221X |
| NPI Number | 1104768381 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/07/2026 | |
| Last updated | 04/30/2026 - About a month ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BROADWAY ORAL SURGERY LLC
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BROADWAY ORAL SURGERY LLC