Organization
RIDE ORAL SURGERY SUMMIT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKHAR MEHROTRA BDS, DDS, MD (PRESIDENT)
(908) 395-0111
Entity
Organization
Contact information
Practice address
1 SPRINGFIELD AVE STE 2D, SUMMIT, NJ 07901-4055
(908) 395-0111
Mailing address
1 SPRINGFIELD AVE STE 2D, SUMMIT, NJ 07901-4055
(908) 395-0111
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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