# ADVANCED DENTAL GROUP OF LONG BRANCH PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Jersey Shore Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285301333
- **Authorized official:** FRANCIS OH (OWNER)
- **Authorized official phone:** (201) 509-1032

## Contact information

- **Practice address:** 107 MONMOUTH RD STE 107, WEST LONG BRANCH, NJ 07764-1021
- **Practice address phone:** (201) 509-1032
- **Mailing address:** PO BOX 1118, FORT LEE, NJ 07024-1118
- **Mailing address phone:** (201) 509-1032

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2021
- **Last updated:** 08/26/2021