# OAK RIDGE DENTAL GROUP, P.A.

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

## Provider details

- **NPI number:** 1154341485
- **Authorized official:** DR. CHRISTOPHER THOMAS LILLO (VICE PRESIDENT DENTIST)
- **Authorized official phone:** (732) 341-1120

## Contact information

- **Practice address:** 191 ROUTE 37 W, TOMS RIVER, NJ 08755-8046
- **Practice address phone:** (732) 341-1120
- **Practice address fax:** (732) 914-0465
- **Mailing address:** 191 ROUTE 37 W, TOMS RIVER, NJ 08755-8046
- **Mailing address phone:** (732) 341-1120
- **Mailing address fax:** (732) 914-0465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI19256 | NJ | — |
| 1223G0001X | General Practice Dentistry | DI9702 | NJ | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 08/22/2020