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LAKEWOOD PEDIATRIC DENTAL ASSOCIATES
NPI 1639155336
Dentist - Pediatric Dentistry in Lakewood, NJ

Active since December 15, 2005
1328 ROUTE 9 SOUTH, SUITE 11 & 12, LAKEWOOD, NJ 08701(732) 363-5558(732) 363-5512 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakewood Pediatric Dental Associates NPPES

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

LAKEWOOD PEDIATRIC DENTAL ASSOCIATES (NPI 1639155336) is a healthcare organization registered as a pediatric dentistry in Lakewood, New Jersey and active in the NPI registry since December 2005. The organization lists George J. Dierna, President, as its authorized official.

NPPES Registry Identity

NPI1639155336
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLAKEWOOD PEDIATRIC DENTAL ASSOCIATES
Location Address1328 ROUTE 9 SOUTH, SUITE 11 & 12Lakewood, NJ 08701-5645
Mailing Address1328 Route 9 South, Suite 11 & 12Lakewood, NJ 08701-5645 · (732) 363-5558 · Fax (732) 363-5512
Phone(732) 363-5558
Fax(732) 363-5512
Organization SubpartNo
Authorized OfficialGeorge J. DiernaPresident · (732) 363-5558
Enumeration DateDecember 15, 2005
Last NPPES UpdateSeptember 13, 2011
✔ NPI 1639155336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1328 ROUTE 9 SOUTH, SUITE 11 & 12, Lakewood, NJ 08701
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Other Identifiers 1

Medicaid0170682-01NJ

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 UnitedHealthcare.Insurance ›

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 Lakewood Pediatric Dental Associates's NPI number?

The NPI number for Lakewood Pediatric Dental Associates is 1639155336. It was assigned to this organization in the NPPES registry on December 15, 2005.

Where is Lakewood Pediatric Dental Associates located?

Lakewood Pediatric Dental Associates is located at 1328 Route 9 South, Suite 11 & 12, Lakewood, NJ 08701. The listed phone number is (732) 363-5558.

What is Lakewood Pediatric Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Lakewood Pediatric Dental Associates accept?

Health plans from UnitedHealthcare list Lakewood Pediatric Dental Associates 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 Lakewood Pediatric Dental Associates was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.