Provider Demographics
NPI:1396069118
Name:EXCLUSIVE ORAL SURGERY
Entity type:Organization
Organization Name:EXCLUSIVE ORAL SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MD
Authorized Official - Phone:518-209-0524
Mailing Address - Street 1:2055 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6297
Mailing Address - Country:US
Mailing Address - Phone:973-595-5455
Mailing Address - Fax:973-595-5959
Practice Address - Street 1:2055 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6297
Practice Address - Country:US
Practice Address - Phone:973-595-5455
Practice Address - Fax:973-595-5959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD102336300261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery