| Coastal Monmouth Dental Specialists, Llc | |
|
1300 State Route 35 Plaza 1 Suite 202 Ocean NJ 07712 | |
| (732) 531-4411 | |
| (732) 531-3350 |
| Full Name | Coastal Monmouth Dental Specialists, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1300 State Route 35, Ocean, New Jersey |
| Authorized Official Name and Position | Andrew Richard Samuel (MANAGING MEMBER) |
| Authorized Official Contact | 7325314411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Monmouth Dental Specialists, Llc 1300 State Route 35 Plaza 1 Suite 202 Ocean NJ 07712 Ph: (732) 531-4411 | Coastal Monmouth Dental Specialists, Llc 1300 State Route 35 Plaza 1 Suite 202 Ocean NJ 07712 Ph: (732) 531-4411 |
| NPI Number | 1720696420 |
|---|---|
| Provider Enumeration Date | 07/19/2020 |
| Last Update Date | 07/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720696420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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