# LONG VALLEY DENTAL GROUP P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093039679
- **Authorized official:** PATRICIA L. NEWELL (INSURANCE COORDINATOR)
- **Authorized official phone:** (908) 876-3458

## Contact information

- **Practice address:** 2 MOUNTAIN VIEW AVE, LONG VALLEY, NJ 07853-3122
- **Practice address phone:** (908) 876-3458
- **Mailing address:** 2 MOUNTAIN VIEW AVE, LONG VALLEY, NJ 07853-3122
- **Mailing address phone:** (908) 876-3458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 21476 | NJ | Yes |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 03/25/2010
