EASTERN DENTAL HOLDINGS LLC NPI 1770192239

NPI Information

NPI: 1770192239
Provider Name: EASTERN DENTAL HOLDINGS, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1030 ST. GEORGES AVENUE
SUITE 304
AVENEL, NJ
ZIP 07001
Phone: (732) 750-0707
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EASTERN DENTAL HOLDINGS, LLC is a general practice dentist in Avenel, NJ. The provider is 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. EASTERN DENTAL HOLDINGS, LLC NPI is 1770192239. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1030 ST. GEORGES AVENUE
SUITE 304
AVENEL, NJ
ZIP 07001-327
Phone: (732) 750-0707
Fax: (732) 750-5781

The provider's authorized official is Elan Schwarz .
The authorized official title is Owner and has the following contact phone number (816) 953-5400.

The enumeration date for this NPI number is 7/30/2020 and was last updated on 7/30/2020.

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	Primary
1	122300000X	Dentist		No
2	1223E0200X	Dentist	Endodontics	No
3	1223G0001X	Dentist	General Practice	Yes
4	1223P0300X	Dentist	Periodontics	No
5	1223S0112X	Dentist	Oral and Maxillofacial Surgery	No
6	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	No

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: 5/5/2024

NPI Synchronization or Removal

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