# RIVERSIDE ORAL SURGERY-RIVER EDGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962683334
- **Authorized official:** DR. JASON MICHAEL AUERBACH DDS (OWNER)
- **Authorized official phone:** (201) 487-6565

## Contact information

- **Practice address:** 130 KINDERKAMACK RD, SUITE 204, RIVER EDGE, NJ 07661-1939
- **Practice address phone:** (201) 487-6565
- **Practice address fax:** (201) 487-4229
- **Mailing address:** 130 KINDERKAMACK RD, SUITE 204, RIVER EDGE, NJ 07661-1939
- **Mailing address phone:** (201) 487-6565
- **Mailing address fax:** (201) 487-4229

## 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:** 11/14/2007
- **Last updated:** 09/07/2016