Broadway Oral Surgery Llc

LBN: Broadway Oral Surgery Llc
Broadway Oral Surgery Llc is an health care organization with primary practice located at 223 Bloomfield Ave Suite 2, Newark NJ 07104. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Broadway Oral Surgery Llc can be contacted via phone (973) 554-4565, or through Skolnick, Michael via phone (908) 469-9100.

Contact Information

Primary practice address
223 Bloomfield Ave Suite 2 Newark NJ 07104
Phone: (973) 554-4565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Skolnick, Michael Doctor of Dental Medicine (DMD)
Phone: (908) 469-9100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1912869199
LBN Legal business name Broadway Oral Surgery Llc
DBA Doing business as
Authorized official Skolnick, Michael Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2025
Last updated Nov 26th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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