PROGRESSIVE ORAL SURGERY LLC; NPI #1568755817

Contact Information

PROGRESSIVE ORAL SURGERY LLC

168 FRANKLIN TPKE
WALDWICK, NJ 07463-1848

Phone: 201-251-9955
Fax: 201-251-9994
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for PROGRESSIVE ORAL SURGERY LLC

NPI Number 1568755817

LBN Legal business name PROGRESSIVE ORAL SURGERY LLC

Authorized official SANDEEP SINGLA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/19/2011

Last updated 05/19/2011 - About 15 years ago

Identifiers

License #

DI102336300

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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