EASTERN DENTAL HOLDINGS, LLC (NPI# 1770192239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770192239 |
Entity Type | Organization |
Organization Name | EASTERN DENTAL HOLDINGS, LLC |
Practice Address |
1030 St. Georges Avenue Suite 304 Avenel NJ 07001-1327 |
Practice Telephone | 7327500707 |
Practice Fax Number | 7327505781 |
Mailing Telephone | 7327500707 |
Mailing Fax Number | 7327505781 |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-07-30 |
Authorized Official Name | ELAN SCHWARZ (OWNER) |
Authorized Official Telephone | 8169535400 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
N | 122300000X | Dentist | Dental Providers | ||
N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Street Address |
1030 ST. GEORGES AVENUE SUITE 304 |
City | AVENEL |
State | NJ |
Zip Code | 07001-1327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689516 | Janice Belarmino | Counselor | 22 5th Ave, Avenel, NJ 07001 | 2020-11-06 |
1588229306 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Ave, Apt 103, Woodbridge, NJ 07001 | 2019-05-07 |
1396300117 | Pennreach | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, Apt 227, Avenel, NJ 07001 | 2019-05-07 |
1538672746 | Speaking Out Speech and Language Services LLC | Speech-Language Pathologist | 1162 St. George's Avenue Pmb 278, Avenel, NJ 07001 | 2017-11-09 |
1013450717 | Nj Smiles of Woodbridge | Dentist | 1170 St.georges Ave, Avenel, NJ 07001 | 2016-11-29 |
1881136653 | Firstcare Pharmacy LLC | Pharmacy | 517 Avenel St, Avenel, NJ 07001 | 2016-11-10 |
1619368644 | Violet Christopher Monis | Nurse Practitioner | 62 Remsen Ave, Avenel, NJ 07001 | 2015-02-12 |
1902054877 | Harji M Ladani | Dentist | 1100 Woodbridge Ave, East Jersey State Prison, Evenel, NJ 07001 | 2008-09-04 |
1154500205 | Kathleen P Hilliard | Audiologist-Hearing Aid Fitter | 1275 Rahway Ave, Avenel, NJ 07001 | 2007-10-25 |
1154498111 | Giuseppe Romano | Chiropractor | 1030 St George Ave, Suite 202, Avenel, NJ 07001 | 2006-11-28 |
Find all providers in zip 07001 |
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 |
---|---|---|---|---|
1013450717 | Nj Smiles of Woodbridge | Dentist | 1170 St.georges Ave, Avenel, NJ 07001 | 2016-11-29 |
1578704284 | Robert E Soyka | Dentist | 1348 Saint Georges Ave, Avenel, NJ 07001-1134 | 2009-03-11 |
1932165578 | Sally-jo Placa | Dentist | 432 Avenel St, Avenel, NJ 07001-1150 | 2006-04-22 |
1952698326 | Melvin Feiler | Dentist | 1030 Saint Georges Ave, Avenel, NJ 07001-1390 | 2011-07-06 |
1689807661 | Jason Slomovitz | Dentist | 1030 Saint Georges Ave, Avenel, NJ 07001-1390 | 2009-08-25 |
1255570552 | Melaura Preston | Dentist | 1030 Saint Georges Ave, Avenel, NJ 07001-1390 | 2009-02-10 |
1336395318 | Daya Bale | Dentist | 1030 Saint Georges Ave, Avenel, NJ 07001-1390 | 2008-08-11 |
1427212802 | Ewa Tracz | Dentist | 1030 Saint Georges Ave, Avenel, NJ 07001-1390 | 2008-07-15 |
1801063854 | Prabhjot Singh | Dentist | 1030 St. Georges Ave, Room B-854, Avenel, NJ 07001 | 2008-05-09 |
1487827341 | Patrick Quaranta | Dentist | 1030 Saint Georges Ave, Avenel, NJ 07001-1390 | 2008-04-10 |
Find all providers in AVENEL |
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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.