# NORTH JERSEY ORAL MAXILLOFACIAL RECONSTRUCTION SURGERY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043485535
- **Authorized official:** DR. JOHN V. VECCHIONE D.D.S (PRESIDENT)
- **Authorized official phone:** (973) 691-8400

## Contact information

- **Practice address:** 98 US HIGHWAY 46, SUITE 3, BUDD LAKE, NJ 07828
- **Practice address phone:** (973) 691-8400
- **Practice address fax:** (973) 691-8408
- **Mailing address:** 98 US HIGHWAY 46, SUITE 3, BUDD LAKE, NJ 07828
- **Mailing address phone:** (973) 691-8400
- **Mailing address fax:** (973) 691-8408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI02217300 | NJ | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 11/09/2012