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General NPI Number Information
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NPI Number | 1275432197
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Entity Type | Organization
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Legal Business Name | EDEN ORAL AND MAXILLOFACIAL SURGERY PC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 225 MILLBURN AVE STE 204
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City | MILLBURN
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State | NJ
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Zip | 07041-1712
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Country | US
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Telephone | 973-315-5051
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Fax |
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Provider Business Mailing Address
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Address Line | 225 MILLBURN AVE STE 204
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City | MILLBURN
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State | NJ
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Zip | 07041-1712
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Country | US
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Telephone | 973-315-5051
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID FARKAS
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Credential | DDS, MD
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Telephone | 973-315-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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