# PARK PLACE ORAL SURGERY LLC

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

## Provider details

- **NPI number:** 1942986104
- **Authorized official:** DR. MICHAEL SKOLNICK DMD (CEO)
- **Authorized official phone:** (973) 643-1130

## Contact information

- **Practice address:** 50 PARK PL STE 1540, NEWARK, NJ 07102-4301
- **Practice address phone:** (973) 643-1130
- **Mailing address:** 50 PARK PL STE 1540, NEWARK, NJ 07102-4301
- **Mailing address phone:** (973) 643-1130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2023
- **Last updated:** 06/23/2023