# NU DENTAL OF BARNEGAT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nu Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689261554
- **Authorized official:** DR. ADMASU N GIZACHEW DDS (CEO)
- **Authorized official phone:** (609) 879-0036

## Contact information

- **Practice address:** 770 LIGHTHOUSE DR \# 192-B, BARNEGAT, NJ 08005-2373
- **Practice address phone:** (609) 879-0036
- **Practice address fax:** (609) 879-0036
- **Mailing address:** 16 RIVERSIDE LN, HOLMDEL, NJ 07733-2084
- **Mailing address phone:** (732) 945-7999

## Taxonomy

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

## Other

- **Enumeration date:** 12/28/2020
- **Last updated:** 12/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0440833 | — | NJ |