Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastern Dental of Lacey, LLC

Organization General Practice Dentistry · NPI 1689722787

Eastern Dental of Lacey, LLC is a General Practice Dentistry in Forked River, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

131 S Main St
Forked River, NJ 08731-3635
Phone: (609) 693-6066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 10967 (NJ)
General Practice Dentistry Taxonomy 1223G0001X · Licence 17953 (NJ)

Record details

NPI number1689722787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Dubman — Director · (609) 693-6066
NPI enumeratedJanuary 8, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1030 Saint Georges Ave, Avenel, NJ 07001-1390

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