GARDEN STATE ORAL SURGERY PA
NPI 1063690816
Dentist - Oral and Maxillofacial Surgery in Parsippany, NJ

Active since February 04, 2008
265 BALDWIN RD, PARSIPPANY, NJ 07054(973) 335-5252 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garden State Oral Surgery Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARDEN STATE ORAL SURGERY PA (NPI 1063690816) is a healthcare organization registered as an oral and maxillofacial surgery in Parsippany, New Jersey and active in the NPI registry since February 2008. The organization lists John N Kallis, Owner, as its authorized official.

NPPES Registry Identity

NPI1063690816
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGARDEN STATE ORAL SURGERY PA
Location Address265 BALDWIN RDParsippany, NJ 07054-2007
Mailing Address265 Baldwin RdParsippany, NJ 07054-2007 · (973) 335-5252
Organization SubpartNo
Authorized OfficialJohn N KallisOwner · (973) 335-5252
Enumeration DateFebruary 4, 2008
NPI 1063690816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NJ · DI15472
Definition
An oral and maxillofacial surgery dentist specialized in 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.
265 BALDWIN RD, Parsippany, NJ 07054

Other Identifiers 1

Medicare UPINU32802NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
265 BALDWIN RD
PARSIPPANY, NJ 07054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garden State Oral Surgery PA's NPI number?

The NPI number for Garden State Oral Surgery PA is 1063690816. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is Garden State Oral Surgery PA located?

Garden State Oral Surgery PA is located at 265 Baldwin Rd, Parsippany, NJ 07054. The listed phone number is (973) 335-5252.

What is Garden State Oral Surgery PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Garden State Oral Surgery PA was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.