Provider Demographics
NPI:1528388675
Name:OROSURGERY, LLC
Entity Type:Organization
Organization Name:OROSURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:GELDZAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-731-8844
Mailing Address - Street 1:769 NORTHFIELD AVE
Mailing Address - Street 2:SUITE 224
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1198
Mailing Address - Country:US
Mailing Address - Phone:973-731-8844
Mailing Address - Fax:973-731-9944
Practice Address - Street 1:769 NORTHFIELD AVE
Practice Address - Street 2:SUITE 224
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1198
Practice Address - Country:US
Practice Address - Phone:973-731-8844
Practice Address - Fax:973-731-9944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty