Provider Demographics
NPI:1639274418
Name:HADDON ORAL SURGEONS PA
Entity Type:Organization
Organization Name:HADDON ORAL SURGEONS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES HADDON ORAL SURGEONS
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:GARIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:856-983-0202
Mailing Address - Street 1:475 OLD MARLTON PIKE
Mailing Address - Street 2:MARLTON PROF BLDG SUITE #2
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2098
Mailing Address - Country:US
Mailing Address - Phone:856-983-0202
Mailing Address - Fax:856-983-8990
Practice Address - Street 1:475 OLD MARLTON PIKE
Practice Address - Street 2:MARLTON PROF BLDG SUITE #2
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2098
Practice Address - Country:US
Practice Address - Phone:856-983-0202
Practice Address - Fax:856-983-8990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty