# NORTH MONMOUTH DENTAL ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1285978908
- **Authorized official:** DR. NANCY HANNA DMD (PRESIDENT)
- **Authorized official phone:** (732) 842-6300

## Contact information

- **Practice address:** 709 SYCAMORE AVE, TINTON FALLS, NJ 07701-4946
- **Practice address phone:** (732) 842-6300
- **Mailing address:** 709 SYCAMORE AVE, TINTON FALLS, NJ 07701-4946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 18874 | NJ | Yes |

## Other

- **Enumeration date:** 11/19/2012
- **Last updated:** 11/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0219738 | — | NJ |