Healthcare Provider Details

I. General information

NPI: 1225924756
Provider Name (Legal Business Name): KIDS SMILE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3759 US HIGHWAY 1 STE 202
MONMOUTH JCT NJ
08852-2430
US

IV. Provider business mailing address

3759 US HIGHWAY 1 STE 202
MONMOUTH JCT NJ
08852-2430
US

V. Phone/Fax

Practice location:
  • Phone: 732-297-5200
  • Fax: 732-297-5206
Mailing address:
  • Phone: 732-297-5200
  • Fax: 732-297-5206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DAWN M FORBES
Title or Position: PRESIDENT
Credential: DDS
Phone: 908-872-0407