South Jersey Oral & Maxillofacial Surgeons, Llc
LBN: South Jersey Oral & Maxillofacial Surgeons, Llc
South Jersey Oral & Maxillofacial Surgeons, Llc is an health care organization with primary practice located at 135 Jackson Rd Suite A, Medford NJ 08055-9231. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Radiology. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
South Jersey Oral & Maxillofacial Surgeons, Llc can be contacted via phone (609) 654-1300, or through Fedeli, Amerigo via phone (609) 654-1300.
Contact Information
Primary practice address
135 Jackson Rd Suite A
Medford NJ 08055-9231
Phone: (609) 654-1300
Fax: (609) 654-0040
Website:
Authorized official contact:
Name: Fedeli, Amerigo Doctor of Dental Medicine (DMD)
Phone: (609) 654-1300
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X |
Profile Details
| NPI number | 1447272562 |
|---|---|
| LBN Legal business name | South Jersey Oral & Maxillofacial Surgeons, Llc |
| DBA Doing business as | |
| Authorized official | Fedeli, Amerigo Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jun 30th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447272562 | NPPES |
| New Jersey | MEDICAID | 7945108 |
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