Active NPIOrganization

Eastern Dental Of Lawrenceville, LLC

Dentist, Oral and Maxillofacial Surgery in Lawrenceville, New Jersey

NPI Number1497803597
Practice location
520 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674
Fax
—
Last updated
September 11, 2025

Eastern Dental Of Lawrenceville, LLC is a healthcare organization based in Lawrenceville, NJ. Eastern Dental Of Lawrenceville, LLC practices in Lawrenceville, NJ. The NPI Number for Eastern Dental Of Lawrenceville, LLC is 1497803597 and holds a License No. 19184 (NJ). The current practice location address for Eastern Dental Of Lawrenceville, LLC is 520 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674 and can be reached out via phone at 609-587-6300.

Provider Profile Details

NPI Number
1497803597
Provider Name
Eastern Dental Of Lawrenceville, LLC
Provider Entity Type
Organization
Address
520 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674
Phone Number
609-587-6300
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. Manish Mistry, DDS · Director · 609-587-6300
Provider Enumeration Date
January 8, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
520 Lawrence Square Blvd S
Lawrenceville, NJ 08648-2674
Zip
08648-2674
Phone Number
609-587-6300
Lawrenceville, NJ 08648Get directions →

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 (1)
19184
License State (1)
NJ
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
10967
License State (2)
NJ
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eastern Dental Of Lawrenceville, LLC?

The NPI number of Eastern Dental Of Lawrenceville, LLC is 1497803597. It was assigned on January 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Eastern Dental Of Lawrenceville, LLC?

Eastern Dental Of Lawrenceville, LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 19184.

Where does Eastern Dental Of Lawrenceville, LLC practice?

The practice location is 520 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674. The office can be reached at 609-587-6300 (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 1497803597 directly on the NPPES registry website.

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