| Eastern Dental Of Old Bridge, Llc | |
|
960 Route 9 South South Amboy NJ 08879-3310 | |
| (732) 727-3399 | |
| Not Available |
| Full Name | Eastern Dental Of Old Bridge, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 960 Route 9 South, South Amboy, New Jersey |
| Authorized Official Name and Position | Alan Morgenstern (DIRECTOR) |
| Authorized Official Contact | 7327273399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Dental Of Old Bridge, Llc 1030 Saint Georges Ave Avenel NJ 07001-1390 Ph: () - | Eastern Dental Of Old Bridge, Llc 960 Route 9 South South Amboy NJ 08879-3310 Ph: (732) 727-3399 |
| NPI Number | 1770631772 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770631772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10232 (New Jersey) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10967 (New Jersey) | Primary |
The Center For Headaches And Facial Pain Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2045 Route 35, South Amboy, NJ 08879 Phone: 732-727-5000 Fax: 732-727-5497 |