Implant SpecialistFinder

Surgery Center of Penthouse IV

Oral surgery practice in West Orange, NJ

Registered specialist

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Public-record details

Address
101 Old Short Hills Road, West Orange, NJ 07052
Phone
(973) 736-1345
Listed under
Oral & maxillofacial surgeons, Specialty practices
NPI
1710060496
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Oral and Maxillofacial Surgery (1223S0112X)
Authorized official
Theodore Niebloom, DMD, Doctor Administrative Director
NPI first issued
Oct 24, 2006
NPI record last updated
Aug 22, 2020

NPI 1710060496 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1710060496 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.

Other implant specialists in West Orange

Oral Reconstructive Associates101 Old Short Hills Rd, Suite 500 · West Orange, NJ 07052 · (973) 325-3700 · ProsthodontistsRegistered specialty: Prosthodontics · PracticeRegistered specialistPeriodontics and Implantology Associates, P.C.97 Northfield Ave · West Orange, NJ 07052 · (973) 731-8300 · PeriodontistsRegistered specialty: Periodontics · PracticeRegistered specialistRiverside Oral Surgery - West Orange101 Old Short Hills Rd Ph 2 · West Orange, NJ 07052 · (201) 487-6565 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial Surgery · PracticeRegistered specialistHenry Falk, DDS101 Old Short Hills Road · West Orange, NJ 07052 · (973) 736-7616 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (NJ)Metropolitan Craniofacial Center101 Old Short Hills Road, Penthouse II · West Orange, NJ 07052 · (973) 736-7616 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial Surgery · PracticeRegistered specialistOrosurgery, LLC769 Northfield Ave, Suite 224 · West Orange, NJ 07052 · (973) 731-8844 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial Surgery · PracticeRegistered specialistStephen Bergen, DDS1 Colonial Woods Dr · West Orange, NJ 07052 · (973) 325-2221 · ProsthodontistsRegistered specialty: ProsthodonticsRegistered specialistLicense # listed (NJ)Theodore Niebloom, DMD101 Old Short Hills Road · West Orange, NJ 07052 · (973) 736-7616 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (NJ)

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