MATAWAN/OLD BRIDGE DENTAL, PA (NPI# 1295920098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295920098 |
| Entity Type | Organization |
| Organization Name | MATAWAN/OLD BRIDGE DENTAL, PA |
| Practice Address |
349h Matawan Rd Matawan NJ 07747-3929 |
| Practice Telephone | 7325663111 |
| Practice Fax Number | 7325666308 |
| Mailing Telephone | 7325663111 |
| Mailing Fax Number | 7325666308 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | DR. DENNIS MICHAEL KELLER (OWNER) |
| Authorized Official Telephone | 7325663111 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
09859 | NJ | Dental Providers |
| Street Address |
349H MATAWAN RD |
| City | MATAWAN |
| State | NJ |
| Zip Code | 07747-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730169 | Therapy Enlightens, LLC | Counselor | 811 Sloan Court, Matawan, NJ 07747 | 2019-09-26 |
| 1831748045 | Adam Fan | Physical Therapist | 1016 Hwy 34 Matawan, Building 9, Matawan, NJ 07747 | 2019-09-10 |
| 1255819843 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St., Apt. 110, Aberdeen, NJ 07747 | 2018-08-06 |
| 1023547775 | Claire Casey | Counselor | 166 Main Strreet, Matawan, NJ 07747 | 2017-06-07 |
| 1174975361 | Danielle Barakat | Behavioral Analyst | 2 Mill Rd, Apt 2, Matawan, NJ 07747 | 2016-07-12 |
| 1275982019 | Angel Cardenas | Social Worker | 1208 Route 34 Tower 2 Suite 20, Aberdeen, NJ 07747 | 2016-06-10 |
| 1891175931 | Gabriella Taube | Dentist | 1130 Nj-34, Aberdeen Township, NJ 07747 | 2015-06-03 |
| 1639423874 | Bayshore Ems, Inc | Ambulance | 260 Church Street, Aberdeen, NJ 07747 | 2012-11-08 |
| 1689959462 | Michael Ruggiero | Counselor | 104 Wellington Place, Aberdeen, NJ 07747 | 2011-10-12 |
| 1619258407 | Maressa Nordstrom | Counselor | 196 Main St Ste 103, Matawan, NJ 07747 | 2011-09-07 |
| Find all providers in zip 07747 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003019910 | Jonathan Min | Dentist | 39 Cambridge Dr, Matawan, NJ 07747-2227 | 2007-06-07 |
| 1225183155 | William Moskowitz | Dentist | 1323 State Route 34, Matawan, NJ 07747-1944 | 2007-01-23 |
| 1710995931 | Sudha Alexander | Dentist | 1 Woodsend Drive, Matawan, NJ 07747 | 2006-08-03 |
| 1124029459 | Joan Marie Sahul | Dentist | 1 Woodsend Dr, Matawan, NJ 07747-3526 | 2005-08-09 |
| 1831746411 | Steven Todd Britton | Dentist | 105 Reids Hill Rd, Matawan, NJ 07747-4002 | 2019-08-20 |
| 1801365218 | Garden State Smiles | Dentist | 125 Main St, Matawan, NJ 07747-2654 | 2018-11-14 |
| 1154532356 | Larry J. Young | Dentist | 203 Main St, Matawan, NJ 07747-3127 | 2007-05-28 |
| 1831217199 | J.n.s. Dental Associates, L.L.C. | Dentist | 1016 State Route 34, Matawan, NJ 07747-3476 | 2007-03-26 |
| 1457478364 | Adler Family Dental, LLC | Dentist | 301 Church St, Matawan, NJ 07747-1521 | 2007-03-24 |
| 1497836316 | John Joseph Nazzaro | Dentist | 100 Belchase Dr, Suite 101, Matawan, NJ 07747-9728 | 2006-10-18 |
| Find all providers in MATAWAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.