Provider Demographics
NPI:1104617935
Name:PREMIER ORAL SURGERY OF HO-HO-KUS PC
Entity type:Organization
Organization Name:PREMIER ORAL SURGERY OF HO-HO-KUS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOJANIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-233-2440
Mailing Address - Street 1:110 WARREN AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1561
Mailing Address - Country:US
Mailing Address - Phone:201-652-1154
Mailing Address - Fax:201-652-0442
Practice Address - Street 1:110 WARREN AVE
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1566
Practice Address - Country:US
Practice Address - Phone:201-652-1154
Practice Address - Fax:201-652-0442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty