Eastern Dental Of Northfield, LLC
Dentist, Oral and Maxillofacial Surgery in Northfield, New Jersey
1669520763- Practice location
- 1634 New RD, Northfield, NJ 08225-1108
- Phone
- 609-677-1589
- Fax
- —
- Last updated
- September 11, 2025
Eastern Dental Of Northfield, LLC is a healthcare organization based in Northfield, NJ. Eastern Dental Of Northfield, LLC practices in Northfield, NJ. The NPI Number for Eastern Dental Of Northfield, LLC is 1669520763 and holds a License No. 11990 (NJ). The current practice location address for Eastern Dental Of Northfield, LLC is 1634 New RD, Northfield, NJ 08225-1108 and can be reached out via phone at 609-677-1589.
Provider Profile Details
- NPI Number
- 1669520763
- Provider Name
- Eastern Dental Of Northfield, LLC
- Provider Entity Type
- Organization
- Address
- 1634 New RD, Northfield, NJ 08225-1108
- Phone Number
- 609-677-1589
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Organization Subpart
- No
- Authorized Official
- Dr. Bennett Sideman, DDS · Director · 609-677-1589
- Provider Enumeration Date
- January 8, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1634 New RD
Northfield, NJ 08225-1108 - City
- Northfield
- State
- New Jersey
- Zip
- 08225-1108
- Phone Number
- 609-677-1589
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)
- 11990
- 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Northfield, LLC?
The NPI number of Eastern Dental Of Northfield, LLC is 1669520763. It was assigned on January 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Eastern Dental Of Northfield, LLC?
Eastern Dental Of Northfield, LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 11990.
Where does Eastern Dental Of Northfield, LLC practice?
The practice location is 1634 New RD, Northfield, NJ 08225-1108. The office can be reached at 609-677-1589 (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 1669520763 directly on the NPPES registry website.