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201 ORAL SURGERY
NPI 1073896809
Dentist - Oral and Maxillofacial Surgery in Old Tappan, NJ

Active since September 28, 2011
180 OLD TAPPAN RD, OLD TAPPAN, NJ 07675(201) 767-4001 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 201 Oral Surgery NPPES

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

201 ORAL SURGERY (NPI 1073896809) is a healthcare organization registered as an oral and maxillofacial surgery in Old Tappan, New Jersey and active in the NPI registry since September 2011. The organization lists Suzanne Waltke, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073896809
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business Name201 ORAL SURGERY
Location Address180 OLD TAPPAN RDOld Tappan, NJ 07675-7052
Mailing Address180 Old Tappan RdOld Tappan, NJ 07675-7052
Phone(201) 767-4001
Organization SubpartNo
Authorized OfficialSuzanne WaltkeOffice Manager · (201) 767-4001
Enumeration DateSeptember 28, 2011
✔ NPI 1073896809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in NJ · 22DI02332400✔ Licensed in NJ · 22DI01547211✔ Licensed in NJ · 22DI01805400
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.
180 OLD TAPPAN RD, Old Tappan, NJ 07675
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DAVID JENKINS, P.A.
Dentist (Orthodontics and Dentofacial Orthopedics)
180 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
Bergen County (201) 768-0018
DR. DAVID JENKINS D.M.D., M.S.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
180 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
Bergen County (201) 768-0018
KELLI BRADY DDS LLC
Dentist
180 OLD TAPPAN RD, BLDG 6
OLD TAPPAN, NJ 07675
Bergen County (201) 768-5553
DR. KRISTA S FISHER DMD
Dentist (General Practice)
180 OLD TAPPAN RD, BUILDING #6
OLD TAPPAN, NJ 07675
Bergen County (201) 768-5553
DR. CARL PAUL WALTKE D.M.D.
Dentist (Oral and Maxillofacial Surgery)
180 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
Bergen County (201) 767-4001

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 201 Oral Surgery's NPI number?

The NPI number for 201 Oral Surgery is 1073896809. It was assigned to this organization in the NPPES registry on September 28, 2011.

Where is 201 Oral Surgery located?

201 Oral Surgery is located at 180 Old Tappan Rd, Old Tappan, NJ 07675. The listed phone number is (201) 767-4001.

What is 201 Oral Surgery'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 201 Oral Surgery was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.