PEB DENTAL DDS PA
NPI 1770971103
Dentist - General Practice in East Brunswick, NJ

Q: What is Peb Dental Dds PA's NPI number?

The NPI number for Peb Dental Dds PA is 1770971103. It was assigned to this organization in the NPPES registry on January 8, 2015.

Q: What is Peb Dental Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Peb Dental Dds PA was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 08, 2015

230 ROUTE 18, EAST BRUNSWICK, NJ 08816(732) 609-9106(732) 752-1268 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peb Dental Dds Pa NPPES

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

PEB DENTAL DDS PA (NPI 1770971103) is a healthcare organization registered as a general practice in East Brunswick, New Jersey and active in the NPI registry since January 2015. The organization lists Vijaya Radakrishna, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1770971103

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePEB DENTAL DDS PA

Location Address230 ROUTE 18East Brunswick, NJ 08816-1909

Mailing Address230 Route 18East Brunswick, NJ 08816-1909 · (732) 609-9106 · Fax (732) 752-1268

Phone(732) 609-9106

Fax(732) 752-1268

Organization SubpartNo

Authorized OfficialVijaya RadakrishnaPediatrician · (732) 752-1932

Enumeration DateJanuary 8, 2015

✔ NPI 1770971103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · 0101028295

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

230 ROUTE 18, East Brunswick, NJ 08816

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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 SINGLE SPECIALTY GROUP

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 Peb Dental Dds PA's NPI number?

The NPI number for Peb Dental Dds PA is 1770971103. It was assigned to this organization in the NPPES registry on January 8, 2015.

Where is Peb Dental Dds PA located?

Peb Dental Dds PA is located at 230 Route 18, East Brunswick, NJ 08816. The listed phone number is (732) 609-9106.

What is Peb Dental Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Peb Dental Dds PA was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.