Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERARD MATTHEW MIRKOV, DMD
ActiveDR. GERARD MATTHEW MIRKOV, DMD is a Oral & Maxillofacial Surgery healthcare provider located in MONTCLAIR, New Jersey. NPI 1720203847 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MONTCLAIR, NJ
Registration Details
- NPI Number
- 1720203847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2007 (19.353289912071 yrs)
- Last Updated
- Jul 8, 2007
- License
-
17326 (NJ)
Practice Information
- Address
-
89 PARK STREETMONTCLAIR, NJ, 07042Browse NJ providers · Browse ZIP 07042
- Phone
- 9737466200
- Fax
- 9737443114
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in MONTCLAIR, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM G RANUCCI | DMD | 1720295017 |
| DR. EMIL JOHN ARMAND CAPPETTA | D.D.S. | 1043572969 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.