| Lincroft Oral And Maxillofacial Surgery | |
|
515 Newman Springs Rd Lincroft NJ 07738-1426 | |
| (732) 842-5915 | |
| (732) 842-5910 |
| Full Name | Lincroft Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 515 Newman Springs Rd, Lincroft, New Jersey |
| Authorized Official Name and Position | John Frattellone (OWNER) |
| Authorized Official Contact | 7328425915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincroft Oral And Maxillofacial Surgery 515 Newman Springs Rd Lincroft NJ 07738-1426 Ph: (732) 842-5915 | Lincroft Oral And Maxillofacial Surgery 515 Newman Springs Rd Lincroft NJ 07738-1426 Ph: (732) 842-5915 |
| NPI Number | 1588799803 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 12/23/2013 |
| Medicare PECOS PAC ID | 7416907886 |
|---|---|
| Medicare Enrollment ID | O20050125000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588799803 | NPI | - | NPPES |
| 6009409 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 16514 (New Jersey) | Primary |
| Provider Name | John P Frattellone |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578535670 PECOS PAC ID: 4082664453 Enrollment ID: I20050125000279 |
| Provider Name | Khanh Q Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235143892 PECOS PAC ID: 7315997681 Enrollment ID: I20050125000291 |
| Provider Name | Stephen A Toran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982626206 PECOS PAC ID: 2668486697 Enrollment ID: I20060202000040 |
| Provider Name | Daniel Winston |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073725594 PECOS PAC ID: 1759532849 Enrollment ID: I20121120000162 |
Newman Springs Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 Newman Springs Rd, Lincroft, NJ 07738 Phone: 732-741-6444 Fax: 732-741-8121 | |
Aparna Menon Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 Newman Springs Rd, Lincroft, NJ 07738 Phone: 732-741-6444 | |
Sunshine Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Middletown Lincroft Rd, Lincroft, NJ 07738 Phone: 732-842-5005 Fax: 732-842-8608 | |
Deforte Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Swimming River Rd, Lincroft, NJ 07738 Phone: 732-747-7755 | |
Shore Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 654 Newman Springs Rd, Suite A, Lincroft, NJ 07738 Phone: 732-747-4444 Fax: 732-747-4003 |