Coastal Dental Group South LLC
Dentist in Point Pleasant Boro, New Jersey
1205202850- Practice location
- 2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334
- Phone
- 732-714-1030
- Fax
- —
- Last updated
- August 18, 2015
Coastal Dental Group South LLC is a healthcare organization based in Point Pleasant Boro, NJ. Coastal Dental Group South LLC practices in Point Pleasant Boro, NJ. The NPI Number for Coastal Dental Group South LLC is 1205202850 and holds a License No. 22di02008701 (NJ). The current practice location address for Coastal Dental Group South LLC is 2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334 and can be reached out via phone at 732-714-1030.
Provider Profile Details
- NPI Number
- 1205202850
- Provider Name
- Coastal Dental Group South LLC
- Provider Entity Type
- Organization
- Address
- 2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334
- Phone Number
- 732-714-1030
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Joseph Richard Zicchino, DDS · Owner/Dentist · 732-714-1030
- Provider Enumeration Date
- August 18, 2015
- Last Update Date
- August 18, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2407 Bridge Ave
Point Pleasant Boro, NJ 08742-4334 - State
- New Jersey
- Zip
- 08742-4334
- Phone Number
- 732-714-1030
Provider Business Mailing Address Details
- Address
- 2407 Bridge Ave
Point Pleasant Boro, NJ 08742-4334 - City
- Point Pleasant Boro
- State
- NJ
- Zip
- 08742-4334
- Phone Number
- 732-714-1030
- Fax Number
- 732-714-1142
License Information
- License Number
- 22di02008701
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Point Pleasant Boro, NJ
View all Dentists in Point Pleasant Boro →- Dr. Bryan J Penczuk, DMDDentist · NPI 1043735764
- Dr. Joseph R Zicchino, DDSDentist · NPI 1437269271
- Dr. Louis M Lambusta Jr., DDSDentist · NPI 1407986565
- Dr. Richard T Mccluskey, DMDDentist · NPI 1962623330
- Jobella Dental Associates, LLCDentist · NPI 1104322957
- Keyport Dental GroupDentist · NPI 1346515384
Frequently Asked Questions
What is the NPI number of Coastal Dental Group South LLC?
The NPI number of Coastal Dental Group South LLC is 1205202850. It was assigned on August 18, 2015 and is currently active in the NPPES registry.
What is the specialty of Coastal Dental Group South LLC?
Coastal Dental Group South LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22di02008701.
Where does Coastal Dental Group South LLC practice?
The practice location is 2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334. The office can be reached at 732-714-1030 (phone).
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 1205202850 directly on the NPPES registry website.