Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Padovan-Lagrasta, DMD, PA

Individual provider General Practice Dentistry · NPI 1457433617

Nicole Padovan-Lagrasta, DMD, PA is a General Practice Dentistry in Bound Brook, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

105 E Union Ave
Bound Brook, NJ 08805-1713
Phone: (732) 469-4424
Fax: (732) 469-9138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 020537 (NJ)

Record details

NPI number1457433617
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD , PA
Sole proprietorYes
NPI enumeratedOctober 19, 2006
Last updated in NPPESAugust 21, 2012

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