CHILDREN'S DENTAL GROUP PC NPI 1457560252

NPI Information

  • NPI: 1457560252
  • Provider Name: CHILDREN'S DENTAL GROUP PC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 288 STATE ROUTE 35 S
    EATONTOWN, NJ
    ZIP 07724
  • Phone: (732) 389-2422

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NPI Details

CHILDREN'S DENTAL GROUP PC is a pediatric dentistry dentist in Eatontown, NJ. The provider is 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. CHILDREN'S DENTAL GROUP PC NPI is 1457560252. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

288 STATE ROUTE 35 S
EATONTOWN, NJ
ZIP 07724-105
Phone: (732) 389-2422
Fax: (732) 389-8815

The provider's authorized official is David E. Tarrab .
The authorized official title is President and has the following contact phone number (732) 389-2422.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryNEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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