Edward J Dooley, DMD
Individual provider Active NPI General Practice Dentistry · Spring Lake, NJ
NPI 1083718282 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083718282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Practice address
- 1109 3Rd Ave
Spring Lake, NJ 07762-1328 - Phone
- (732) 974-2288
- Fax
- (732) 974-8070
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DIO1508100 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RS Smiles LLC | Past |
Accepting new patients | |
| Edward J Dooley DMD a Professional Corporation | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NJ | Yes |
Addresses
Primary practice location
1109 3Rd Ave
Spring Lake, NJ 07762-1328
Mailing address
1109 3Rd Ave
Spring Lake, NJ 07762-1328
Phone (732) 974-2288
Other providers in Spring Lake, NJ
- Jessica M Cowan
- Barbara Coyle
- Kalyan Dandu
- Daniela Diaz
- Donald M Micallef MD PC
- Dr. Jeffrey M. Fitch
- Edward J Dooley DMD a Professional Corporation
- Family Dentistry of Spring Lake
- Kerry M. Farrell
- Kristie Fawkes
All providers in Spring Lake, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.