# NEPTUNE FAMILY DENTAL

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

## Provider details

- **NPI number:** 1184845604
- **Authorized official:** MARIA R JIMENEZ DDS (OWNER)
- **Authorized official phone:** (732) 774-0077

## Contact information

- **Practice address:** 2300 STATE ROUTE 33, NEPTUNE, NJ 07753-4362
- **Practice address phone:** (732) 774-0077
- **Practice address fax:** (732) 988-1176
- **Mailing address:** 2300 STATE ROUTE 33, NEPTUNE, NJ 07753-4362
- **Mailing address phone:** (732) 774-0077
- **Mailing address fax:** (732) 988-1176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02193300 | NJ | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0101052 | — | NJ |