EASTERN DENTAL OF LACEY, LLC

Dentist - Oral and Maxillofacial Surgery

Active Organization
NPI: 1689722787

Practice Address

131 S MAIN ST
Forked River, NJ 08731

Phone: (609) 693-6066

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 17953 (NJ)
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes 10967 (NJ)

Frequently Asked Questions

NPI 1689722787 is the National Provider Identifier for EASTERN DENTAL OF LACEY, LLC, a Dentist - Oral and Maxillofacial Surgery provider located in Forked River, NJ. This NPI was enumerated on January 8, 2007.

Quick Facts

NPI
1689722787
Type
Organization
Enumerated
Jan 8, 2007
Last Updated
Sep 11, 2025

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