Eastern Dental Of Laurel Springs, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Laurel Springs, NJ. Organization (NPI-2).
NPI number1154448744
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1154448744
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastern Dental Of Laurel Springs, LLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 23068 | NJ | Yes |
| 1223G0001X | Dentist, General Practice | 12066 | NJ | |
| 1223P0300X | Dentist, Periodontics | 09460 | NJ | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 07879 | NJ |
Practice location
3 Kelly Drivers LnLaurel Springs, NJ 08021-4823
Phone 856-784-5100
Mailing address
1030 Saint Georges AveAvenel, NJ 07001-1390
Authorized official
Nguyen Vu-Nguyen
Director
8567845100
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