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

Eastern Periodontic Associates, LLC

Organization Periodontics · NPI 1093876658

Eastern Periodontic Associates, LLC is a Periodontics in Avenel, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1030 Saint Georges Ave
Avenel, NJ 07001-1390
Phone: (732) 750-3600
Fax: (732) 750-3696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 09460 (NJ)

Record details

NPI number1093876658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Prestup — Director Of Periodontics · (732) 750-3600
NPI enumeratedDecember 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1030 Saint Georges Ave, Avenel, NJ 07001-1390

Other providers in Avenel