BETHEL ORAL SURGERY
NPI 1780992958
Dentist - Oral and Maxillofacial Surgery in Fort Lee, NJ

Active since September 21, 2010
1319 ANDERSON AVE, SUITE #D, FORT LEE, NJ 07024(201) 969-8888 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethel Oral Surgery NPPES

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

BETHEL ORAL SURGERY (NPI 1780992958) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Lee, New Jersey and active in the NPI registry since September 2010. The organization lists Andrew Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1780992958
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBETHEL ORAL SURGERY LLC
Location Address1319 ANDERSON AVE, SUITE #DFort Lee, NJ 07024-1770
Mailing Address1319 Anderson Ave, Suite #dFort Lee, NJ 07024-1770 · (201) 969-8888
Organization SubpartNo
Authorized OfficialAndrew KimOwner · (201) 969-8888
Enumeration DateSeptember 21, 2010
NPI 1780992958 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 · 20618
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.
1319 ANDERSON AVE, Fort Lee, NJ 07024

Other Names 1

Doing Business AsBethel Oral Surgery

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
1319 ANDERSON AVE, OFFICE C
FORT LEE, NJ 07024

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 Bethel Oral Surgery LLC's NPI number?

The NPI number for Bethel Oral Surgery LLC is 1780992958. It was assigned to this organization in the NPPES registry on September 21, 2010. The provider is doing business as Bethel Oral Surgery.

Where is Bethel Oral Surgery LLC located?

Bethel Oral Surgery LLC is located at 1319 Anderson Ave Suite #d, Fort Lee, NJ 07024. The listed phone number is (201) 969-8888.

What is Bethel Oral Surgery LLC'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 Bethel Oral Surgery LLC was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.