# PROUSI ORAL & FACIAL 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:** 1154860120
- **Authorized official:** ANTHONY PROUSI DDS, MD (OWNER / SURGEON)
- **Authorized official phone:** (609) 526-8650

## Contact information

- **Practice address:** 1900 MOUNT HOLLY RD, BUILDING 500, BURLINGTON TOWNSHIP, NJ 08016-4722
- **Practice address phone:** (609) 526-8650
- **Practice address fax:** (609) 526-8640
- **Mailing address:** 1900 MOUNT HOLLY RD, BUILDING 500, BURLINGTON TOWNSHIP, NJ 08016-4722
- **Mailing address phone:** (609) 526-8650
- **Mailing address fax:** (609) 526-8640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI02541600 | NJ | Yes |

## Other

- **Enumeration date:** 02/23/2017
- **Last updated:** 02/23/2017