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EASTERN DENTAL OF OLD BRIDGE, LLC
NPI 1770631772
Dentist - Oral and Maxillofacial Surgery in South Amboy, NJ

Active since January 08, 2007
960 ROUTE 9 SOUTH, SOUTH AMBOY, NJ 08879(732) 727-3399 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

About Eastern Dental Of Old Bridge, Llc NPPES

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

EASTERN DENTAL OF OLD BRIDGE, LLC (NPI 1770631772) is a healthcare organization registered as an oral and maxillofacial surgery in South Amboy, New Jersey and active in the NPI registry since January 2007. The organization lists Alan Morgenstern, Director, as its authorized official.

NPPES Registry Identity

NPI1770631772
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEASTERN DENTAL OF OLD BRIDGE, LLC
Location Address960 ROUTE 9 SOUTHSouth Amboy, NJ 08879-3310
Mailing Address1030 Saint Georges AveAvenel, NJ 07001-1390
Phone(732) 727-3399
Organization SubpartNo
Authorized OfficialAlan MorgensternDirector · (732) 727-3399
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1770631772 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 10232 (NJ)

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.

NICOLE RENEE NIEBUDEK DMD
Dentist (General Practice)
960 ROUTE 9 SOUTH
SOUTH AMBOY, NJ 08879
Middlesex County (732) 727-3399
LEONARD OPTICAL INC.
Eyewear Supplier
960 ROUTE 9 SOUTH, SUITE 14
SOUTH AMBOY, NJ 08879
Middlesex County (732) 721-3770

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 Old Bridge, LLC's NPI number?

The NPI number for Eastern Dental Of Old Bridge, LLC is 1770631772. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Eastern Dental Of Old Bridge, LLC located?

Eastern Dental Of Old Bridge, LLC is located at 960 Route 9 South, South Amboy, NJ 08879. The listed phone number is (732) 727-3399.

What is Eastern Dental Of Old Bridge, 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 Old Bridge, 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.