Healthcare Provider Details

I. General information

NPI: 1750292223
Provider Name (Legal Business Name): ASTERIA DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 N BEERS ST STE 2F
HOLMDEL NJ
07733-1512
US

IV. Provider business mailing address

723 N BEERS ST STE 2F
HOLMDEL NJ
07733-1512
US

V. Phone/Fax

Practice location:
  • Phone: 929-336-9470
  • Fax:
Mailing address:
  • Phone: 929-336-9470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VICTOR POPANDOPOULO
Title or Position: DENTIST
Credential: DDS
Phone: 929-336-9470