Organization
ALLIANCE DENTAL SPECIALTIES OF TOMS RIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRATTELLONE DMD (ORAL SURGEON/OWNER)
(732) 842-5915
Entity
Organization
Contact information
Practice address
1510 HOOPER AVE, TOMS RIVER, NJ 08753-2228
(732) 255-1516
Mailing address
515 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1426
(732) 842-5915
(732) 842-5910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
25066
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16514
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
25371
NJ
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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