Provider Demographics
NPI:1154209781
Name:MORRIS ORAL SURGERY & IMPLANT CENTER LLC
Entity type:Organization
Organization Name:MORRIS ORAL SURGERY & IMPLANT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMBETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-400-5254
Mailing Address - Street 1:11 PINE ST APT 260
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4376
Mailing Address - Country:US
Mailing Address - Phone:914-275-5298
Mailing Address - Fax:
Practice Address - Street 1:201 LITTLETON RD STE 110
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2939
Practice Address - Country:US
Practice Address - Phone:973-400-5254
Practice Address - Fax:973-400-5139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty