National Provider Identifier Database

OPTIMUM ORAL SURGERY GROUP LLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

OPTIMUM ORAL SURGERY GROUP LLC
2301 E EVESHAM RD
SUITE 211
VOORHEES TOWNSHIP, NJ08043-4501
Phone: 856-772-1500
Fax: 856-772-0711
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for OPTIMUM ORAL SURGERY GROUP LLC

NPI Number 1003264326
Legal business name
LBN
OPTIMUM ORAL SURGERY GROUP LLC
Authorized official DONALD REBHUN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/26/2016
Last updated 08/27/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 12708

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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