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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EASTERN DENTAL OF LACEY, LLC

Active Organization

EASTERN DENTAL OF LACEY, LLC is a Oral & Maxillofacial Surgery organization located in FORKED RIVER, New Jersey. NPI 1689722787 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · FORKED RIVER, NJ

Registration Details

NPI Number
1689722787
Provider Type
Organization
NPI Issued
Jan 8, 2007 (19.601883551614 yrs)
Last Updated
Sep 11, 2025
Licenses
17953 (NJ)
10967 (NJ)

Practice Information

Address
131 S MAIN ST
FORKED RIVER, NJ, 087313635
Browse NJ providers · Browse ZIP 08731
Phone
6096936066
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.