OrganizationActive
Bridge Oral-Facial Surgery and Implant Center, LLC
NPI 1275961815 · Oral and Maxillofacial Surgery (Dentist) · Fort Lee, NJ
Provider details
- NPI number
- 1275961815
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Brian Bovino, Partner(201) 585-9800
- License
- 015109 (NJ)
Specialties & taxonomies
Dental Providers
Practice location
2029 Lemoine Ave
Suite 103
Fort Lee, NJ 07024-5704
Phone: (201) 585-9800
Fax: (201) 585-9820
Approximate (ZIP-level) locationGet directions
Mailing address
2029 Lemoine Ave
Fort Lee, NJ 07024-5704
Registry dates
- Enumerated
- 2013-10-16
- Last updated
- 2013-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.