# BERGEN ORAL SURGERY GROUP PA

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

## Provider details

- **NPI number:** 1316024458
- **Authorized official:** DR. STEVEN M MOSS DMD (PRESIDENT)
- **Authorized official phone:** (201) 343-8297

## Contact information

- **Practice address:** 920 MAIN ST, HACKENSACK, NJ 07601-5017
- **Practice address phone:** (201) 343-8297
- **Practice address fax:** (201) 343-2535
- **Mailing address:** 920 MAIN ST, HACKENSACK, NJ 07601-5017
- **Mailing address phone:** (201) 343-8297
- **Mailing address fax:** (201) 343-2535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI01524901 | NJ | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 06/05/2013