# MONMOUTH DENTAL ARTS LLC

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

## Provider details

- **NPI number:** 1376204537
- **Authorized official:** DR. ANDREW ADLY DDS (OWNER/DENTIST)
- **Authorized official phone:** (732) 531-4165

## Contact information

- **Practice address:** 257 MONMOUTH ROAD SUITE 6, OAKHURST, NJ 07755
- **Practice address phone:** (732) 531-4165
- **Practice address fax:** (732) 531-2610
- **Mailing address:** 257 MONMOUTH ROAD SUITE 6, OAKHURST, NJ 07755
- **Mailing address phone:** (732) 531-4165
- **Mailing address fax:** (732) 531-2610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 01/09/2022
- **Last updated:** 06/17/2022