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Organization
BROADWAY ORAL SURGERY LLC
Active
Organization
BROADWAY ORAL SURGERY LLC
Active
Other names
Broadway Oral Surgery, Garden Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SKOLNICK DMD (OWNER)
(908) 469-9100
Entity
Organization
Contact information
Practice address
370 BROADWAY, 3RD FLOOR SUITE 300, PATERSON, NJ 07501
(973) 221-8758
Mailing address
370 BROADWAY, 3RD FLOOR SUITE 300, PATERSON, NJ 07501
(973) 221-8758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/07/2026
Last updated
04/30/2026
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