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201 Oral Surgery

Oral and Maxillofacial Surgery (Dentist) in Old Tappan, NJ · enumerated 2011 · authorized official Suzanne Waltke, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073896809

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Registry record

Entity type Organization (Type 2)
Legal business name 201 Oral Surgery
Practice address 180 Old Tappan Rd, Old Tappan, NJ, 07675
Phone (201) 767-4001
Enumeration date Sep 28, 2011
Last updated in NPPES Sep 28, 2011

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 22DI01547211 (NJ) Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 22DI02332400 (NJ) Primary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 22DI01805400 (NJ) Secondary

Authorized official

Name Suzanne Waltke
Title Office Manager
Phone (201) 767-4001

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-09-28. Verify at npiregistry.cms.hhs.gov.
Where is 201 Oral Surgery located?
The practice location on file with NPPES is in Old Tappan, NJ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-28.