Organization
ORAL & MAXILLOFACIAL ASSOCIATES OF MONTCLAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G. RANUCCI DMD (ORAL SURGEON)
(973) 746-3466
Entity
Organization
Contact information
Practice address
54 PLYMOUTH STREET, MONTCLAIR, NJ 07042
(973) 746-3466
(973) 783-4157
Mailing address
54 PLYMOUTH STREET, MONTCLAIR, NJ 07042
(973) 746-3466
(973) 783-4157
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI02564900
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
22DI01705800WILLIAMG
NJ
Other
Enumeration date
01/09/2007
Last updated
12/27/2016
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