SUMMIT ORAL AND MAXILLOFACIAL SURGERY, PA NPI 1437275716

Dentist (Oral and Maxillofacial Surgery) in Summit, NJ

NPI 1437275716 Organization Dentist Oral and Maxillofacial Surgery

About SUMMIT ORAL AND MAXILLOFACIAL SURGERY, PA

Summit Oral And Maxillofacial Surgery,pa is a provider established in Summit, New Jersey specializing in dentist (oral and maxillofacial surgery) . The NPI number of Summit Oral And Maxillofacial Surgery,pa is 1437275716 and was assigned on March 2007. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Summit Oral And Maxillofacial Surgery,pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jon Albert Bartlett Dds (Owner)

A dentist like Summit Oral And Maxillofacial Surgery,pa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1437275716

Provider NameSUMMIT ORAL AND MAXILLOFACIAL SURGERY,PA
Provider Location Address155 SUMMIT AVE SUMMIT, NJ 07901
Provider Mailing Address155 SUMMIT AVE SUMMIT, NJ 07901
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-21-2007
Last Update Date06-20-2008


Primary Taxonomy

Taxonomy Code1223S0112X
ClassificationDentist
TypeDental Providers
SpecializationOral and Maxillofacial Surgery
Taxonomy DescriptionThe 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.

Business Address

SUMMIT ORAL AND MAXILLOFACIAL SURGERY,PA
155 SUMMIT AVE
SUMMIT, NJ
ZIP 07901
Phone: (908) 273-5451

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Mailing Address

SUMMIT ORAL AND MAXILLOFACIAL SURGERY,PA
155 SUMMIT AVE
SUMMIT, NJ
ZIP 07901
Phone: (908) 273-5451



Authorized Official

Authorized Official NameDR. JON ALBERT BARTLETT DDS
Authorized Official TitleOWNER
Authorized Official Phone(908) 273-5451

Group Taxonomy


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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
088183MEDICARE ID-TYPE UNSPECIFIED (04)NJ

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023290566DR. PETAR HINIC DDS
Individual
Dentist (Oral and Maxillofacial Surgery)155 SUMMIT AVE
SUMMIT, NJ 07901
(908) 273-5451
1942326236DR. JON ALBERT BARTLETT DDS
Individual
Dentist (Oral and Maxillofacial Surgery)155 SUMMIT AVE
SUMMIT, NJ 07901
(908) 273-5451

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.