Healthcare Provider Details

I. General information

NPI: 1861461675
Provider Name (Legal Business Name): HOWARD J. SOSNA DDS OMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 HIGH ST 1300
NEWTON NJ
07860-9601
US

IV. Provider business mailing address

183 HIGH ST 1300
NEWTON NJ
07860-9601
US

V. Phone/Fax

Practice location:
  • Phone: 973-300-5700
  • Fax: 973-300-5744
Mailing address:
  • Phone: 973-827-7767
  • Fax: 973-827-6061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number12501
License Number StateNJ

VIII. Authorized Official

Name: DR. HOWARD J. SOSNA
Title or Position: ORAL AND MAXILLOFACIAL SURGEON
Credential: D.D.S.
Phone: 973-827-7767