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

New Jersey Mobile Dental Practice, PA

Organization Dentist · NPI 1447379102

New Jersey Mobile Dental Practice, PA provides Dentist services in Colts Neck, 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?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24 Merchants Way
Colts Neck, NJ 07722-1570
Phone: (732) 431-7577
Fax: (732) 431-8070
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DI018346 (NJ)

Record details

NPI number1447379102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Beukas — President · (732) 431-7577
NPI enumeratedMarch 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address637 Wyckoff Ave, Suite 236, Wyckoff, NJ 07481-1438

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