# BROOK DENTAL ASSOCIATES PA

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

## Provider details

- **NPI number:** 1134228877
- **Authorized official:** DR. DOUGLAS S ELY DMD (OWNER)
- **Authorized official phone:** (732) 469-6662

## Contact information

- **Practice address:** 373 VOSSELLER AVE, BOUND BROOK, NJ 08805-1604
- **Practice address phone:** (732) 469-6662
- **Practice address fax:** (732) 469-4182
- **Mailing address:** 373 VOSSELLER AVE, BOUND BROOK, NJ 08805-1604
- **Mailing address phone:** (732) 469-6662
- **Mailing address fax:** (732) 469-4182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 08/22/2020