Provider Demographics
NPI:1790824217
Name:MONROE ORAL SURGERY GROUP,L.L.C.
Entity Type:Organization
Organization Name:MONROE ORAL SURGERY GROUP,L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL AND MAXILLOFACIAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:SALMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:609-395-8300
Mailing Address - Street 1:18 CENTRE DRIVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831
Mailing Address - Country:US
Mailing Address - Phone:609-395-8300
Mailing Address - Fax:609-395-9650
Practice Address - Street 1:18 CENTRE DRIVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831
Practice Address - Country:US
Practice Address - Phone:609-395-8300
Practice Address - Fax:609-395-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI015334011223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty