Organization · Type 2 NPI
Eastern Dental of Lacey, LLC
Oral and Maxillofacial Surgery (Dentist) · Forked River, NJ
NPI number
1689722787
Active
Practice location
131 S Main St
Forked River, NJ 08731-3635
Mailing address
1030 Saint Georges Ave
Avenel, NJ 07001-1390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 17953 (NJ) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 10967 (NJ) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
About NPI 1689722787
Eastern Dental of Lacey, LLC's National Provider Identifier is 1689722787, issued on Jan 8, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Forked River, NJ. The record was last updated on Sep 11, 2025.