EASTERN DENTAL OF LAUREL SPRINGS, LLC (NPI# 1154448744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154448744 |
| Entity Type | Organization |
| Organization Name | EASTERN DENTAL OF LAUREL SPRINGS, LLC |
| Practice Address |
3 Kelly Drivers Ln Laurel Springs NJ 08021-4823 |
| Mailing Address |
1030 Saint Georges Ave Avenel NJ 07001-1390 |
| Practice Telephone | 8567845100 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NGUYEN VU-NGUYEN (DIRECTOR) |
| Authorized Official Telephone | 8567845100 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
12066 | NJ | Dental Providers |
| X | 1223P0300X |
Dentist Specialization: Periodontics |
09460 | NJ | Dental Providers |
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
07879 | NJ | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
23068 | NJ | Dental Providers |
| Street Address |
3 KELLY DRIVERS LN |
| City | LAUREL SPRINGS |
| State | NJ |
| Zip Code | 08021-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205950102 | Nguyet Vu-nguyen | Dentist | 3 Kelly Drivers Ln, Laurel Springs, NJ 08021-4823 | 2007-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
| 1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
| 1881118610 | Arc of Camden County- Millbridge Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 | 2017-08-02 |
| 1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
| 1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
| Find all providers in zip 08021 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962752089 | Yoon Hee Kim | Dentist | 3 Kelly Driver Rd, Laurel Springs, NJ 08021-4823 | 2012-09-17 |
| 1205950102 | Nguyet Vu-nguyen | Dentist | 3 Kelly Drivers Ln, Laurel Springs, NJ 08021-4823 | 2007-03-17 |
| 1609912948 | Richard Denis Vecsi | Dentist | 915 Stone Rd., Laurel Springs, NJ 08021 | 2007-01-30 |
| 1912055120 | Dennis Ribatsky, D.d.s., P.a. | Dentist | 1400 Chews Landing Rd, Laurel Springs, NJ 08021-2770 | 2007-01-07 |
| 1578654364 | Elkan Enpei Linn | Dentist | 103 North White Horse Pike, Laurel Springs, NJ 08021-1648 | 2006-09-27 |
| 1306944186 | Hal M Hirsch | Dentist | 1350 Chews Landing Rd, Laurel Springs, NJ 08021-2702 | 2006-09-20 |
| 1861616971 | Jack Franklin Krenzel | Dentist | 1405 Chews Landing Rd, Suite 10, Laurel Springs, NJ 08021-2769 | 2007-04-12 |
| 1427106558 | Dennis Ribatsky | Dentist | 1400 Chews Landing Rd, Laurel Springs, NJ 08021-2770 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1790385490 | Progressive Dental Group | Dentist | 246 N Franklin Tpke Ste 4, Ramsey, NJ 07446-1635 | 2020-10-30 |
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1093314668 | Chandan Venkatesh | Dentist | 193 Westgate Dr, Edison, NJ 08820-1164 | 2020-10-23 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1407463086 | Mina Youssef | Dentist | 821 Bergen Ave Apt B2, Jersey City, NJ 07306-4522 | 2020-09-28 |
| 1912518820 | Tyler Yim | Dentist | 44 Fairfield Dr, Short Hills, NJ 07078-1703 | 2020-08-13 |
| 1902416639 | Anna Lee | Dentist | 666 Plainsboro Rd Ste 408, Plainsboro, NJ 08536-3009 | 2020-08-06 |
| 1164032413 | Qurratulann Talat Khokhar | Dentist | 53 W 56th St, Bayonne, NJ 07002-4113 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | LAUREL SPRINGS |
| Zip Code | 08021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.