# SOUTH BERGEN ORAL MAXILLOFACIAL SURGERY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1073973939
- **Authorized official:** ESHANSH ARORA (MEMBER)
- **Authorized official phone:** (201) 935-4577

## Contact information

- **Practice address:** 422 STUYVESANT AVE, 1ST FLOOR, LYNDHURST, NJ 07071-2326
- **Practice address phone:** (201) 935-4577
- **Mailing address:** 422 STUYVESANT AVE, 1ST FLOOR, LYNDHURST, NJ 07071-2326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI02285405 | NJ | Yes |

## Other

- **Enumeration date:** 03/04/2016
- **Last updated:** 03/04/2016