Eastern Periodontic Associates, LLC
Dentist, Periodontics in Avenel, New Jersey
1093876658- Practice location
- 1030 Saint Georges Ave, Avenel, NJ 07001-1390
- Phone
- 732-750-3600
- Fax
- 732-750-3696
- Last updated
- August 22, 2020
Eastern Periodontic Associates, LLC is a healthcare organization based in Avenel, NJ. Eastern Periodontic Associates, LLC practices in Avenel, NJ. The NPI Number for Eastern Periodontic Associates, LLC is 1093876658 and holds a License No. 09460 (NJ). The current practice location address for Eastern Periodontic Associates, LLC is 1030 Saint Georges Ave, Avenel, NJ 07001-1390 and can be reached out via phone at 732-750-3600 and via fax at 732-750-3696.
Provider Profile Details
- NPI Number
- 1093876658
- Provider Name
- Eastern Periodontic Associates, LLC
- Provider Entity Type
- Organization
- Address
- 1030 Saint Georges Ave, Avenel, NJ 07001-1390
- Phone Number
- 732-750-3600
- Fax Number
- 732-750-3696
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- No
- Authorized Official
- Dr. Aaron Prestup, DMD · Director Of Periodontics · 732-750-3600
- Provider Enumeration Date
- December 13, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1030 Saint Georges Ave
Avenel, NJ 07001-1390 - City
- Avenel
- State
- New Jersey
- Zip
- 07001-1390
- Phone Number
- 732-750-3600
- Fax Number
- 732-750-3696
Provider Business Mailing Address Details
- Address
- 1030 Saint Georges Ave
Avenel, NJ 07001-1390 - City
- Avenel
- State
- NJ
- Zip
- 07001-1390
License Information
- License Number
- 09460
- License State
- NJ
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Avenel, NJ
View all Dentist, Periodontics providers in Avenel →- Dr. Aaron Prestup, DMDDentist, Periodontics · NPI 1184747016
- Dr. Fadi Beydoun, DMDDentist, Periodontics · NPI 1265559983
- Dr. Harold R Lambert, DMDDentist, Periodontics · NPI 1376757542
- Dr. Daya Bale, DDSDentist, General Practice · NPI 1336395318
- Samantha Ashton, LAC, NCCCounselor, Mental Health · NPI 1396620142
- Jayde Mayari, LPCCounselor, Professional · NPI 1720689516
Frequently Asked Questions
What is the NPI number of Eastern Periodontic Associates, LLC?
The NPI number of Eastern Periodontic Associates, LLC is 1093876658. It was assigned on December 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Eastern Periodontic Associates, LLC?
Eastern Periodontic Associates, LLC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number 09460.
Where does Eastern Periodontic Associates, LLC practice?
The practice location is 1030 Saint Georges Ave, Avenel, NJ 07001-1390. The office can be reached at 732-750-3600 (phone) or 732-750-3696 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093876658 directly on the NPPES registry website.