# NJ TEAM DENTAL CENTER PA

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

## Provider details

- **NPI number:** 1942396833
- **Authorized official:** ANDREW SCOTT WHITEMAN DDS (PRESIDENT / DENTIST)
- **Authorized official phone:** (732) 679-3600

## Contact information

- **Practice address:** 2515 HWY 516, OLD BRIDGE, NJ 08857
- **Practice address phone:** (732) 679-3600
- **Practice address fax:** (732) 679-2801
- **Mailing address:** 2515 HWY 516, OLD BRIDGE, NJ 08857
- **Mailing address phone:** (732) 679-3600
- **Mailing address fax:** (732) 679-2801

## Taxonomy

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

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020