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 provides 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

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