Organization
ALON DENTAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWARD NOCCO D.D.S (PRESIDENT OF ALON DENTAL ASSOCIATES)
(856) 358-8303
Entity
Organization
Contact information
Practice address
440 FRONT ST, ELMER, NJ 08318-2177
(856) 358-8303
(856) 358-9145
Mailing address
440 FRONT ST, P.O. BOX 617, ELMER, NJ 08318-2177
(856) 358-8303
(856) 358-9145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI011554400
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI00832300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2651408
—
NJ
Enumeration date
03/19/2007
Last updated
09/11/2025
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