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EASTERN DENTAL OF LACEY, LLC
NPI 1689722787
Dentist - Oral and Maxillofacial Surgery in Forked River, NJ

Active since January 08, 2007
131 S MAIN ST, FORKED RIVER, NJ 08731(609) 693-6066 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Eastern Dental Of Lacey, Llc NPPES

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

EASTERN DENTAL OF LACEY, LLC (NPI 1689722787) is a healthcare organization registered as an oral and maxillofacial surgery in Forked River, New Jersey and active in the NPI registry since January 2007. The organization lists Andrew Dubman, Director, as its authorized official.

NPPES Registry Identity

NPI1689722787
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEASTERN DENTAL OF LACEY, LLC
Location Address131 S MAIN STForked River, NJ 08731-3635
Mailing Address1030 Saint Georges AveAvenel, NJ 07001-1390
Phone(609) 693-6066
Organization SubpartNo
Authorized OfficialAndrew DubmanDirector · (609) 693-6066
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1689722787 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 17953 (NJ)
131 S MAIN ST, Forked River, NJ 08731
Open in Google Maps ↗

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. TRACEY SHRESTHA D.M.D.
Dentist
131 S MAIN ST
FORKED RIVER, NJ 08731
Ocean County (609) 693-6066
DR. ANDREW DUBMAN D.M.D
Dentist (General Practice)
131 S MAIN ST
FORKED RIVER, NJ 08731
Ocean 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 Dental Of Lacey, LLC's NPI number?

The NPI number for Eastern Dental Of Lacey, LLC is 1689722787. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Eastern Dental Of Lacey, LLC located?

Eastern Dental Of Lacey, LLC is located at 131 S Main St, Forked River, NJ 08731. The listed phone number is (609) 693-6066.

What is Eastern Dental Of Lacey, 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 Lacey, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.