# DENTAL SPECIALISTS OF MANAHAWKIN

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

## Provider details

- **NPI number:** 1164254439
- **Authorized official:** RAFAELA NEDELEA (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (267) 334-0082

## Contact information

- **Practice address:** 165 E BAY AVE, MANAHAWKIN, NJ 08050-3105
- **Practice address phone:** (609) 978-8806
- **Mailing address:** 165 E BAY AVE, MANAHAWKIN, NJ 08050-3105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2024
- **Last updated:** 08/15/2024