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

Premium Dentistry

Organization Dentist · NPI 1528557063

Premium Dentistry is a Dentist in Lakewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018

Practice location Address checks out

6 W Spruce St
Lakewood, NJ 08701-5007
Phone: (732) 364-5100
Fax: (201) 927-3474
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI01842800 (NJ)

Record details

NPI number1528557063
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDental Associates of Lakewood
Authorized official Andre Shivrattan — Credentialing Specialist · (347) 579-5159
NPI enumeratedMay 9, 2018
Last updated in NPPESMay 9, 2018
Mailing address6 W Spruce St, Lakewood, NJ 08701-5007

Other providers in Lakewood