Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Eastern Dental of Lacey, LLC

Organization General Practice Dentistry · NPI 1689722787

Eastern Dental of Lacey, LLC provides 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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