# SOUTH JERSEY CENTER FOR ORAL & MAXILLOFACIAL SURGERY, LLC

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

## Provider details

- **NPI number:** 1689892606
- **Authorized official:** MRS. MONIKA L. EAST (OFFICE MANAGER)
- **Authorized official phone:** (609) 909-0300

## Contact information

- **Practice address:** FESTIVAL AT HAMILTON 4450 BLACK HORSE PIKE, SUITE 3970, MAYS LANDING, NJ 08330-0000
- **Practice address phone:** (609) 909-0300
- **Practice address fax:** (609) 909-8943
- **Mailing address:** FESTIVAL AT HAMILTON 4450 BLACK HORSE PIKE, SUITE 3970, MAYS LANDING, NJ 08330-0000
- **Mailing address phone:** (609) 909-0300
- **Mailing address fax:** (609) 909-8943

## 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:** 04/23/2007
- **Last updated:** 08/22/2020