Eastern Dental Of Lacey, LLC
Dentist, Oral and Maxillofacial Surgery in Forked River, New Jersey
1689722787- Practice location
- 131 S Main St, Forked River, NJ 08731-3635
- Phone
- 609-693-6066
- Fax
- —
- Last updated
- September 11, 2025
Eastern Dental Of Lacey, LLC is a healthcare organization based in Forked River, NJ. Eastern Dental Of Lacey, LLC practices in Forked River, NJ. The NPI Number for Eastern Dental Of Lacey, LLC is 1689722787 and holds a License No. 17953 (NJ). The current practice location address for Eastern Dental Of Lacey, LLC is 131 S Main St, Forked River, NJ 08731-3635 and can be reached out via phone at 609-693-6066.
Provider Profile Details
- NPI Number
- 1689722787
- Provider Name
- Eastern Dental Of Lacey, LLC
- Provider Entity Type
- Organization
- Address
- 131 S Main St, Forked River, NJ 08731-3635
- Phone Number
- 609-693-6066
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Organization Subpart
- No
- Authorized Official
- Dr. Andrew Dubman, DMD · Director · 609-693-6066
- Provider Enumeration Date
- January 8, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 S Main St
Forked River, NJ 08731-3635 - City
- Forked River
- State
- New Jersey
- Zip
- 08731-3635
- Phone Number
- 609-693-6066
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)
- 17953
- 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. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near Forked River, NJ
View all Dentist, Oral and Maxillofacial Surgery providers in Forked River →- Dr. Frank J Poplawski, DMDDentist, Oral and Maxillofacial Surgery · NPI 1154479350
- Jessica SotoSpeech-Language Pathologist, · NPI 1295635563
- Faith KurywczakPhysical Therapist · NPI 1053211581
- Ms. Amanda L Acheson, LPCCounselor, Mental Health · NPI 1174047179
- Emma Crewe, PT, DPTPhysical Therapist · NPI 1073413803
- OiborthoDurable Medical Equipment & Medical Supplies · NPI 1992602585
Frequently Asked Questions
What is the NPI number of Eastern Dental Of Lacey, LLC?
The NPI number of Eastern Dental Of Lacey, LLC is 1689722787. It was assigned on January 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Eastern Dental Of Lacey, LLC?
Eastern Dental Of Lacey, LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 17953.
Where does Eastern Dental Of Lacey, LLC practice?
The practice location is 131 S Main St, Forked River, NJ 08731-3635. The office can be reached at 609-693-6066 (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 1689722787 directly on the NPPES registry website.