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Organization

FAIRFIELD DENTAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL SEBILIA (ACCOUNTS MANGER)
(973) 227-0650
Entity
Organization

Contact information

Practice address
193 FAIRFIELD RD, FAIRFIELD, NJ 07004-2472
(973) 227-0650
(973) 227-8148
Mailing address
193 FAIRFIELD RD, FAIRFIELD, NJ 07004-2472
(973) 227-0650
(973) 227-8148

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
21585
NJ
1223E0200X
Endodontics
22616
NJ
1223G0001X
General Practice Dentistry
11780
NJ
1223G0001X
General Practice Dentistry
21633
NJ
1223G0001X
General Practice Dentistry
22353
NJ
1223P0221X
Pediatric Dentistry
21981
NJ
1223P0300X
Periodontics
18734
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
19847
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21526
NJ

Other

Enumeration date
12/05/2006
Last updated
09/11/2025
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