Organization
M OTTAVIANO LLC
Active
Other names
Ottaviano Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL OTTAVIANO DMD (OWNER)
(908) 489-7621
Entity
Organization
Contact information
Practice address
107 MONMOUTH RD STE 107, WEST LONG BRANCH, NJ 07764-1021
(732) 660-5316
Mailing address
107 MONMOUTH RD STE 107, WEST LONG BRANCH, NJ 07764-1021
(732) 660-5316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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