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EASTERN PERIODONTIC ASSOCIATES, LLC
NPI 1093876658
Dentist - Periodontics in Avenel, NJ

Active since December 13, 2006
1030 SAINT GEORGES AVE, AVENEL, NJ 07001(732) 750-3600(732) 750-3696 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastern Periodontic Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN PERIODONTIC ASSOCIATES, LLC (NPI 1093876658) is a healthcare organization registered as a periodontics in Avenel, New Jersey and active in the NPI registry since December 2006. The organization lists Aaron Prestup, Director Of Periodontics, as its authorized official.

NPPES Registry Identity

NPI1093876658
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEASTERN PERIODONTIC ASSOCIATES, LLC
Location Address1030 SAINT GEORGES AVEAvenel, NJ 07001-1390
Mailing Address1030 Saint Georges AveAvenel, NJ 07001-1390
Phone(732) 750-3600
Fax(732) 750-3696
Organization SubpartNo
Authorized OfficialAaron PrestupDirector Of Periodontics · (732) 750-3600
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093876658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NJ · 09460
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1030 SAINT GEORGES AVE, Avenel, NJ 07001
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY DEGUZMAN D.D.S
Dentist (General Practice)
1030 SAINT GEORGES AVE
AVENEL, NJ 07001
Middlesex County (732) 750-0707
DR. CHRISTOPHER M STEWART D.D.S
Dentist
1030 SAINT GEORGES AVE, 304
AVENEL, NJ 07001
Middlesex County (732) 750-0707
DR. BERNARD JAMES KULPER MD
Internal Medicine (Hematology & Oncology)
1030 SAINT GEORGES AVE, SUITE 307
AVENEL, NJ 07001
Middlesex County (732) 750-1200
DR. JASON GOLDBERG D.D.S
Dentist (General Practice)
1030 SAINT GEORGES AVE
AVENEL, NJ 07001
Middlesex County (732) 750-0707
DR. JAMES RODRIGUEZ D.M.D
Dentist (General Practice)
1030 SAINT GEORGES AVE
AVENEL, NJ 07001
Middlesex County (732) 750-0707
DR. SANJANA GULATI D.D.S
Dentist (General Practice)
1030 SAINT GEORGES AVE
AVENEL, NJ 07001
Middlesex County (732) 750-0707
STUART M HOMER MD PA
Internal Medicine (Nephrology)
1030 SAINT GEORGES AVE, SUITE 201
AVENEL, NJ 07001
Middlesex County (732) 602-0244
DR. ALLA PODOKSHIK D.D.S
Dentist (General Practice)
1030 SAINT GEORGES AVE
AVENEL, NJ 07001
Middlesex County (732) 750-0707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Periodontic Associates, LLC's NPI number?

The NPI number for Eastern Periodontic Associates, LLC is 1093876658. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Eastern Periodontic Associates, LLC located?

Eastern Periodontic Associates, LLC is located at 1030 Saint Georges Ave, Avenel, NJ 07001. The listed phone number is (732) 750-3600.

What is Eastern Periodontic Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Eastern Periodontic Associates, LLC accept?

Health plans from Humana list Eastern Periodontic Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastern Periodontic Associates, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.