NPI 1265237069

Prism Oral Surgery & Implants of Summit

Organisation Oral & Maxillofacial Surgery (D.M.D.) Summit, NJ

Practice location

Address: 55 Woodland Ave, Summit, NJ 07901-2225
Phone: (201) 741-2217

Authorised official

Name: Jean Kim Lau
Title: Ceo, Surgeon
Phone: (201) 741-2217

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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Registry record

NPI: 1265237069
Entity type: Organization
NPI issued: 17 Feb 2025
Record last updated: 17 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.