Provider Demographics
NPI:1689667149
Name:WESTWOOD ORAL SURGERY ASSOCIATES PA
Entity Type:Organization
Organization Name:WESTWOOD ORAL SURGERY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:SEEGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MD
Authorized Official - Phone:856-845-1341
Mailing Address - Street 1:992 MANTUA PIKE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WOODBURY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08097-1246
Mailing Address - Country:US
Mailing Address - Phone:856-845-1341
Mailing Address - Fax:856-384-9067
Practice Address - Street 1:992 MANTUA PIKE
Practice Address - Street 2:SUITE 302
Practice Address - City:WOODBURY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08097-1246
Practice Address - Country:US
Practice Address - Phone:856-845-1341
Practice Address - Fax:856-384-9067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
17706OtherAETNA
CN0708OtherGROUP PTAN
008536900OtherAMERIHEALTH MANAGED CARE
0085369001OtherMHS LEGACY
159702OtherAMERIHEALTH PPO
17706OtherAETNA