Organization
ENCORE DENTAL OF TOMS RIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOELLE ROTONDA (CREDENTIALING MANAGER)
(732) 451-2734
Entity
Organization
Contact information
Practice address
1220 HOOPER AVENUE, TOMS RIVER, NJ 08753
(732) 281-8315
Mailing address
1220 HOOPER AVENUE, TOMS RIVER, NJ 08753
(732) 281-8315
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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