Provider Demographics
NPI:1891150348
Name:J BIEBER ORAL AND MAXILLOFACIAL SURGERY PLLC
Entity type:Organization
Organization Name:J BIEBER ORAL AND MAXILLOFACIAL SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-896-8424
Mailing Address - Street 1:841 ROUTE 52
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1516
Mailing Address - Country:US
Mailing Address - Phone:845-896-8424
Mailing Address - Fax:
Practice Address - Street 1:841 ROUTE 52
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1516
Practice Address - Country:US
Practice Address - Phone:845-896-8424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-29
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030759-1261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery