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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

NPI Number 1336298686
LBN Legal business name ORAL & MAXILLOFACIAL ASSOCIATES OF MONTCLAIR
Authorized official WILLIAM RANUCCI - (ORAL SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2007
Last updated 12/27/2016 - About 9 years ago
Identifiers
NJ License # 22DI01705800WILLIAMG
NJ License # 22DI02564900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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