# ALLIANCE DENTAL SPECIALTIES OF TOMS RIVER

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

## Provider details

- **NPI number:** 1164850327
- **Authorized official:** DR. JOHN FRATTELLONE DMD (ORAL SURGEON/OWNER)
- **Authorized official phone:** (732) 842-5915

## Contact information

- **Practice address:** 1510 HOOPER AVE, TOMS RIVER, NJ 08753-2228
- **Practice address phone:** (732) 255-1516
- **Mailing address:** 515 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1426
- **Mailing address phone:** (732) 842-5915
- **Mailing address fax:** (732) 842-5910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 25066 | NJ | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 16514 | NJ | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 25371 | NJ | — |

## Other

- **Enumeration date:** 10/28/2013
- **Last updated:** 10/28/2013