# PRINCETON ORAL AND MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1932304615
- **Authorized official:** DR. SAMUEL S. LEVINE D.D.S. (PRESIDENT)
- **Authorized official phone:** (609) 924-1621

## Contact information

- **Practice address:** 166 BUNN DR, SUITE 103, PRINCETON, NJ 08540-2800
- **Practice address phone:** (609) 924-1621
- **Practice address fax:** (609) 924-6291
- **Mailing address:** 166 BUNN DR, SUITE 103, PRINCETON, NJ 08540-2800
- **Mailing address phone:** (609) 924-1621
- **Mailing address fax:** (609) 924-6291

## 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:** 06/20/2007
- **Last updated:** 10/13/2010