OrganizationActive
Bethel Oral Surgery LLC
NPI 1780992958 · Oral and Maxillofacial Surgery (Dentist) · Fort Lee, NJ
Provider details
- NPI number
- 1780992958
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Andrew Kim, Owner(201) 969-8888
- License
- 20618 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1319 Anderson Ave
Suite #d
Fort Lee, NJ 07024-1770
Phone: (201) 969-8888
Street-level locationGet directions
Mailing address
1319 Anderson Ave
Fort Lee, NJ 07024-1770
Other names (DBA / former)
- Doing business as
- Bethel Oral Surgery
Registry dates
- Enumerated
- 2010-09-21
- Last updated
- 2010-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.