# RIVERSIDE ORAL SURGERY - CHATHAM

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

## Provider details

- **NPI number:** 1801404231
- **Authorized official:** DR. JASON MICHAEL AUERBACH DDS (OWNER)
- **Authorized official phone:** (917) 538-7853

## Contact information

- **Practice address:** 33 MAIN ST, CHATHAM, NJ 07928-2433
- **Practice address phone:** (973) 635-5800
- **Mailing address:** 130 KINDERKAMACK RD STE 204, RIVER EDGE, NJ 07661-1931
- **Mailing address phone:** (201) 487-6565

## 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:** 07/22/2020
- **Last updated:** 07/22/2020