Surgery Center Of Penthouse Iv
Oral and Maxillofacial Dental Clinic
101 Old Short Hills Road, West Orange
New Jersey, 07052
973-736-1345 973-325-3487
Maps & DirectionsSurgery Center Of Penthouse Iv is a Oral and Maxillofacial Dental Clinic in West Orange, New Jersey. It is located at 101 Old Short Hills Road, West Orange, NJ and its contact number is 973-736-1345. The authorized person for Surgery Center Of Penthouse Iv is Dr. Theodore A Niebloom
who is Doctor Administrative Director of the clinic and their contact number is 973-736-7616. Other organizations associated with this clinic are Metropolitan Craniofacial Center, Surgery Center Of Penthouse Iv,
Surgery Center Of Penthouse Iv Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Surgery Center Of Penthouse Iv Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Surgery Center Of Penthouse Iv |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 101 Old Short Hills Road, West Orange, New Jersey, 07052 |
| Phone: | 973-736-1345 |
| Fax: | 973-325-3487 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Theodore A Niebloom |
| Position: | Doctor Administrative Director |
| Contact Number: | 973-736-7616 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Surgery Center Of Penthouse Iv clinic are as mentioned below.
| NPI Number: | 1710060496 |
| NPI Enumeration Date: | 24 Oct, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Metropolitan Craniofacial Center | Oral and Maxillofacial Surgery | 1306922422 |
| Surgery Center Of Penthouse Iv | Oral and Maxillofacial Surgery | 1710060496 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Surgery Center Of Penthouse Iv are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Surgery Center Of Penthouse Iv 101 Old Short Hills Road, West Orange, New Jersey |
| Zip: | 07052 |
| Phone Number: | 973-736-1345 |
| Fax Number: | 973-325-3487 |
Patients can reach Surgery Center Of Penthouse Iv at
101 Old Short Hills Road, West Orange, New Jersey or can
call to book an appointment on 973-736-1345.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.