EASTERN DENTAL OF LACEY, LLC
NPI 1689722787
Dentist - Oral and Maxillofacial Surgery in Forked River, NJ
- Organization
- Dentist
- Oral and Maxillofacial Surgery
About EASTERN DENTAL OF LACEY, LLC
This page provides the complete NPI Profile along with additional information for Eastern Dental Of Lacey, Llc, a provider established in Forked River, New Jersey operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1689722787 assigned on January 2007. The practitioner's primary taxonomy code is 1223S0112X with license number 10967 (NJ). The provider is registered as an organization and their NPI record was last updated one year ago. Eastern Dental Of Lacey, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Andrew Dubman D.m.d (Director)
- NPI
- 1689722787 Verify this NPI
- Provider Name
- EASTERN DENTAL OF LACEY, LLC
- Entity Type
- Organization
- Location Address
- 131 S MAIN ST FORKED RIVER, NJ 08731
- Location Phone
- (609) 693-6066
- Mailing Address
- 1030 SAINT GEORGES AVE AVENEL, NJ 07001
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-08-2007
- Last Update Date
- 09-11-2025
- Code Navigator
A dentist like Eastern Dental Of Lacey, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 10967
- License State
- NJ
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | 17953 (NJ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Reviews for EASTERN DENTAL OF LACEY, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689722787, enumerated as an "organization" on January 08, 2007.
The provider is located at 131 S MAIN ST FORKED RIVER, NJ 08731 and the phone number is (609) 693-6066.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
