Healthcare Provider Details

I. General information

NPI: 1396680351
Provider Name (Legal Business Name): BRICK TOWNSHIP ENDODONTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 ROUTE 70 STE 2C
BRICK NJ
08723-4022
US

IV. Provider business mailing address

525 ROUTE 70 STE 2C
BRICK NJ
08723-4022
US

V. Phone/Fax

Practice location:
  • Phone: 732-451-1500
  • Fax:
Mailing address:
  • Phone: 732-451-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. JEONG HO YANG
Title or Position: ENDODONTIST
Credential: DMD
Phone: 201-888-6368