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EASTERN DENTAL OF LAWRENCEVILLE, LLC
NPI 1497803597
Dentist - Oral and Maxillofacial Surgery in Lawrenceville, NJ

Active since January 08, 2007
520 LAWRENCE SQUARE BLVD S, LAWRENCEVILLE, NJ 08648(609) 587-6300 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Eastern Dental Of Lawrenceville, Llc NPPES

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

EASTERN DENTAL OF LAWRENCEVILLE, LLC (NPI 1497803597) is a healthcare organization registered as an oral and maxillofacial surgery in Lawrenceville, New Jersey and active in the NPI registry since January 2007. The organization lists Manish Mistry, Director, as its authorized official.

NPPES Registry Identity

NPI1497803597
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEASTERN DENTAL OF LAWRENCEVILLE, LLC
Location Address520 LAWRENCE SQUARE BLVD SLawrenceville, NJ 08648-2674
Mailing Address1030 Saint Georges AveAvenel, NJ 07001-1390
Phone(609) 587-6300
Organization SubpartNo
Authorized OfficialManish MistryDirector · (609) 587-6300
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1497803597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NJ · 10967
Definition

An oral and maxillofacial surgery dentist specialized in 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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 19184 (NJ)
520 LAWRENCE SQUARE BLVD S, Lawrenceville, NJ 08648
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. FARAH SHARIFF D.M.D.
Dentist (General Practice)
520 LAWRENCE SQUARE BLVD S
LAWRENCEVILLE, NJ 08648
Mercer County (609) 587-6300
DR. DANIEL CASSARELLA D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
520 LAWRENCE SQUARE BLVD S
LAWRENCEVILLE, NJ 08648
Mercer County (609) 587-6300

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 Dental Of Lawrenceville, LLC's NPI number?

The NPI number for Eastern Dental Of Lawrenceville, LLC is 1497803597. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Eastern Dental Of Lawrenceville, LLC located?

Eastern Dental Of Lawrenceville, LLC is located at 520 Lawrence Square Blvd S, Lawrenceville, NJ 08648. The listed phone number is (609) 587-6300.

What is Eastern Dental Of Lawrenceville, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Eastern Dental Of Lawrenceville, LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.