# PRESTIGE ORAL SURGERY LLC

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

## Provider details

- **NPI number:** 1437576733
- **Authorized official:** DR. MOHAMMED S ERAKAT DMD, MD (OWNER)
- **Authorized official phone:** (571) 228-4139

## Contact information

- **Practice address:** 3700 ROUTE 27, SUITE 103, PRINCETON, NJ 08540-9610
- **Practice address phone:** (732) 297-7000
- **Practice address fax:** (732) 297-3638
- **Mailing address:** 3700 ROUTE 27, SUITE 103, PRINCETON, NJ 08540-9610
- **Mailing address phone:** (732) 297-7000
- **Mailing address fax:** (732) 297-3638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI0233870 | NJ | Yes |

## Other

- **Enumeration date:** 03/25/2014
- **Last updated:** 03/25/2014