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

Lakewood Family and Cosmetic Dental Care, PC

Organization Dentist · NPI 1083806582

Lakewood Family and Cosmetic Dental Care, PC provides Dentist services in Lakewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 River Ave Ste 240
Lakewood, NJ 08701-4738 Not confirmed with CMS for 19 years — call before visiting
Phone: (732) 364-5505
Fax: (732) 364-5595
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI02295200 (NJ)

Record details

NPI number1083806582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oleg Tabak — Dentist · (732) 364-5505
NPI enumeratedAugust 17, 2007
Last updated in NPPESAugust 17, 2007
Mailing address500 River Ave, Suite 240, Lakewood, NJ 08701-4738

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