Oleh W. Zaputowycz, D.D.S.

Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Union, NJ

NPI 1629196480 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629196480
Entity type
Individual (NPI type 1)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License
22DI01368600 (NJ)
Practice address
1441 Morris Ave
Union, NJ 07083-3321
Phone
(908) 688-0022
Fax
(908) 851-9079
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22DI01368600NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
American Dental Center, L.L.C. Oral and Maxillofacial Surgery Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI01368600 NJ Yes

Addresses

Primary practice location

1441 Morris Ave
Union, NJ 07083-3321

Mailing address

33 Craig Rd
Hillsdale, NJ 07642-1003
Phone (908) 688-0022

Other providers in Union, NJ

All providers in Union, NJ · Oral and Maxillofacial Surgery (Dentist) in New Jersey

Sources for this page

Verify at the official NPI Registry.