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SOUTH BERGEN ORAL SURGERY PA
NPI 1699833566
Dentist - Oral and Maxillofacial Surgery in Lyndhurst, NJ

Active since December 04, 2006
422 STUYVESANT AVE, LYNDHURST, NJ 07071(201) 935-4577(201) 935-8893 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Bergen Oral Surgery Pa NPPES

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

SOUTH BERGEN ORAL SURGERY PA (NPI 1699833566) is a healthcare organization registered as an oral and maxillofacial surgery in Lyndhurst, New Jersey and active in the NPI registry since December 2006. The organization lists James P Dilascio, President So Bergen Oral Surgery Pa, as its authorized official.

NPPES Registry Identity

NPI1699833566
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTH BERGEN ORAL SURGERY PA
Location Address422 STUYVESANT AVELyndhurst, NJ 07071
Mailing Address422 Stuyvesant AveLyndhurst, NJ 07071 · (201) 935-4577 · Fax (201) 935-8893
Phone(201) 935-4577
Fax(201) 935-8893
Organization SubpartNo
Authorized OfficialJames P DilascioPresident So Bergen Oral Surgery Pa · (201) 935-4577
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1699833566 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 · 9227✔ Licensed in NJ · 9218
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.
422 STUYVESANT AVE, Lyndhurst, NJ 07071
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Other Identifiers 1

Other058001Medicare Pin

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

SOUTH BERGEN ORAL MAXILLOFACIAL SURGERY LLC
Dentist (Oral and Maxillofacial Surgery)
422 STUYVESANT AVE, 1ST FLOOR
LYNDHURST, NJ 07071
Bergen County (201) 935-4577

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 South Bergen Oral Surgery PA's NPI number?

The NPI number for South Bergen Oral Surgery PA is 1699833566. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is South Bergen Oral Surgery PA located?

South Bergen Oral Surgery PA is located at 422 Stuyvesant Ave, Lyndhurst, NJ 07071. The listed phone number is (201) 935-4577.

What is South Bergen 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 South Bergen Oral Surgery PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.