# EASTERN DENTAL OF NORTHFIELD, LLC

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

## Provider details

- **NPI number:** 1669520763
- **Authorized official:** DR. BENNETT SIDEMAN D.D.S (DIRECTOR)
- **Authorized official phone:** (609) 677-1589

## Contact information

- **Practice address:** 1634 NEW RD, NORTHFIELD, NJ 08225-1108
- **Practice address phone:** (609) 677-1589
- **Mailing address:** 1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 11990 | NJ | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 10967 | NJ | Yes |

## Other

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