# EASTERN DENTAL OF OCEAN MONMOUTH, LLC

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

## Provider details

- **NPI number:** 1417005596
- **Authorized official:** DR. MITCHELL RUBENSTEIN D.D.S (DIRECTOR)
- **Authorized official phone:** (732) 477-9200

## Contact information

- **Practice address:** 2770 HOOPER AVE, BRICK, NJ 08723-4108
- **Practice address phone:** (732) 477-9200
- **Mailing address:** 1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 14574 | NJ | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 10967 | NJ | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 09/11/2025
