National Provider Identifier Database

ORAL AND MAXILLOFACIAL SURGERY AND IMPLANT SPECIALISTS OF MIDDLESEX
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

ORAL AND MAXILLOFACIAL SURGERY AND IMPLANT SPECIALISTS OF MIDDLESEX
295 DURHAM AVE
SUITE 213
SOUTH PLAINFIELD, NJ07080-2548
Phone: 908-222-0040
Fax: 908-222-0041
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ORAL AND MAXILLOFACIAL SURGERY AND IMPLANT SPECIALISTS OF MIDDLESEX

NPI Number 1073915369
Legal business name
LBN
ORAL AND MAXILLOFACIAL SURGERY AND IMPLANT SPECIALISTS OF MIDDLESEX
Authorized official MICHAEL GOULSTON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/18/2014
Last updated 01/09/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 22DI02509200

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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