# ORAL SURGERY ASSOCIATES PC

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

## Provider details

- **NPI number:** 1558037317
- **Authorized official:** JOHN VINCENT VECCHIONE DDS (CEO)
- **Authorized official phone:** (201) 602-2763

## Contact information

- **Practice address:** 335 LENOX AVE, NEW YORK, NY 10027-3703
- **Practice address phone:** (645) 585-1515
- **Mailing address:** 2 LORRAINE DR, PARK RIDGE, NJ 07656-1430
- **Mailing address phone:** (201) 602-2763
- **Mailing address fax:** (201) 391-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2021
- **Last updated:** 12/10/2021
