Eastern Dental of Eatontown, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10967 Issued in NJ

Legal business name

EASTERN DENTAL OF EATONTOWN, LLC

Practice address

1802 Route 35 South
Oakhurst, NJ 07755

Phone

(732) 660-0500

NPI assigned

May 8, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jason Goldberg, D.D.S

Title

Director

Phone

(732) 660-0500

Specialties & licenses 2

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amal Abdel-Razek

  • Dentist
  • Oakhurst, NJ
  • NPI 1699390542
  NPD (past)
• Ikhlas Al Rishan

  • Dentist
  • Oakhurst, NJ
  • NPI 1669224952
  NPD (past)
• Casey Alex Rutkowski, DMD

  • Dentist
  • Oakhurst, NJ
  • NPI 1801382965
  NPD (past)
• Kimberly C. Tinger, D.D.S.

  • Dentist
  • Oakhurst, NJ
  • NPI 1023265683
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1740493337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 ST GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "07001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 ROUTE 35 SOUTH",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-660-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN DENTAL OF EATONTOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-660-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "21630",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "10967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Duffy
• Isaac J Dweck, M.D.
• Sukrut Dwivedi, D.O.
• Easter Seals New Jersey
• Easter Seals New Jersey
• Eatontown Medical Associates, P.a.
• Amanda El-Khouri, DPT
• Courtney Eldridge
• Marsha Ellias-Frankel, MSW
• Enable, Inc.

• Oral and Maxillofacial Surgery (Dentist) in Oakhurst, NJ
• Providers in Oakhurst, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.