# VINELAND ORAL SURGEONS PA

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

## Provider details

- **NPI number:** 1588729362
- **Authorized official:** LORRAINE G WILLIAMS (PRACTICE MANAGER)
- **Authorized official phone:** (856) 692-8300

## Contact information

- **Practice address:** 1318 S MAIN RD, BLDG 4 SUITE B, VINELAND, NJ 08360-6516
- **Practice address phone:** (856) 692-8300
- **Practice address fax:** (856) 692-9229
- **Mailing address:** 1318 S MAIN RD, BLDG 4 SUITE B, VINELAND, NJ 08360-6516
- **Mailing address phone:** (856) 692-8300
- **Mailing address fax:** (856) 692-9229

## 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:** 12/22/2006
- **Last updated:** 08/22/2014