LONG BRANCH DENTAL CENTER NPI 1992891865

NPI Information

  • NPI: 1992891865
  • Provider Name: LONG BRANCH DENTAL CENTER
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • CLIA Number: 31D0910324
  • Address: 9 MEMORIAL PKWY
    SECOND FLOOR A
    LONG BRANCH, NJ
    ZIP 07740
  • Phone: (732) 229-4434

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NPI Details

LONG BRANCH DENTAL CENTER is a dental clinic center in Long Branch, NJ. LONG BRANCH DENTAL CENTER NPI is 1992891865. The provider is registered as an organization entity type.

The provider's business location address is:

9 MEMORIAL PKWY
SECOND FLOOR A
LONG BRANCH, NJ
ZIP 07740-701
Phone: (732) 229-4434
Fax: (732) 229-4476

The provider's authorized official is Hector F Morales Medina .
The authorized official title is President and has the following contact phone number (732) 229-4434.

The CLIA number assigned to this NPI record is 31D0910324 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 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
1261QD0000XClinic/CenterDental19674NEW 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: 11/21/2025

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