Healthcare Provider Details

I. General information

NPI: 1073459988
Provider Name (Legal Business Name): DENTAL CARE OF EGG HARBOR II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 PHILADELPHIA AVE
EGG HARBOR CITY NJ
08215-1330
US

IV. Provider business mailing address

207 PHILADELPHIA AVE
EGG HARBOR CITY NJ
08215-1330
US

V. Phone/Fax

Practice location:
  • Phone: 855-617-2060
  • Fax:
Mailing address:
  • Phone: 855-617-2060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY ROSS
Title or Position: OWNER
Credential: DMD
Phone: 609-635-5737