# ADVANCED DENTAL SPECIALTY GROUP

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

## Provider details

- **NPI number:** 1720405764
- **Authorized official:** DR. ALEXANDER E. LEE D.D.S. (PRESIDENT)
- **Authorized official phone:** (201) 302-0700

## Contact information

- **Practice address:** 7 SYLVAN AVENUE, ENGLEWOOD CLIFFS, NJ 07632
- **Practice address phone:** (201) 302-0700
- **Practice address fax:** (201) 302-9857
- **Mailing address:** 7 SYLVAN AVENUE, ENGLEWOOD CLIFFS, NJ 07632
- **Mailing address phone:** (201) 302-0700
- **Mailing address fax:** (201) 302-9857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 18599 | NJ | Yes |

## Other

- **Enumeration date:** 03/27/2014
- **Last updated:** 03/27/2014
