PREMIER ORAL SURGERY OF BERGEN COUNTY PC - NPI 1316597495

Q: What is Premier Oral Surgery Of Bergen County PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

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About Premier Oral Surgery Of Bergen County Pc NPPES

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

PREMIER ORAL SURGERY OF BERGEN COUNTY PC (NPI 1316597495) is a healthcare organization registered as an oral and maxillofacial pathology in Bergenfield, New Jersey and active in the NPI registry since September 2019. The organization lists John Kallis, Owner, as its authorized official.

NPPES Registry Identity

NPI1316597495

Entity TypeOrganization

Primary Taxonomy1223P0106X

Legal Business NamePREMIER ORAL SURGERY OF BERGEN COUNTY PC

Location Address375 S WASHINGTON AVEBergenfield, NJ 07621-4323

Mailing Address375 S Washington AveBergenfield, NJ 07621-4323 · (201) 385-0775 · Fax (201) 385-5375

Phone(201) 385-0775

Fax(201) 385-5375

Organization SubpartNo

Authorized OfficialJohn KallisOwner · (201) 385-0775

Enumeration DateSeptember 19, 2019

✔ NPI 1316597495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

375 S WASHINGTON AVE, Bergenfield, NJ 07621

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Other Identifiers 1

OtherDI15472NJ · State Dental License

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 8

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

GREGORY LAW MD

Family Medicine