Lakewood Pediatric Dental Associates
Pediatric Dental Clinic
1328 Route 9 South, Suite 11 & 12, Lakewood
New Jersey, 08701-5645
732-363-5558 732-363-5512
Maps & DirectionsLakewood Pediatric Dental Associates is a Pediatric Dental Clinic in Lakewood, New Jersey. It is located at 1328 Route 9 South, Suite 11 & 12, Lakewood, NJ and its contact number is 732-363-5558. The authorized person for Lakewood Pediatric Dental Associates is George J. Dierna
who is President of the clinic and their contact number is 732-363-5558.
Lakewood Pediatric Dental Associates Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Lakewood Pediatric Dental Associates Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lakewood Pediatric Dental Associates |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1328 Route 9 South, Suite 11 & 12, Lakewood,
New Jersey, 08701-5645 |
| Phone: | 732-363-5558 |
| Fax: | 732-363-5512 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | George J. Dierna |
| Position: | President |
| Contact Number: | 732-363-5558 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lakewood Pediatric Dental Associates clinic are as mentioned below.
| NPI Number: | 1639155336 |
| NPI Enumeration Date: | 15 Dec, 2005 |
| NPI Last Update On: | 13 Sep, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakewood Pediatric Dental Associates are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
| Pediatric Dentistry | | New Jersey | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0170682-01 | Medicaid | New Jersey | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lakewood Pediatric Dental Associates
1328 Route 9 South, Suite 11 & 12,
Lakewood, New Jersey |
| Zip: | 08701-5645 |
| Phone Number: | 732-363-5558 |
| Fax Number: | 732-363-5512 |
Patients can reach Lakewood Pediatric Dental Associates at
1328 Route 9 South, Suite 11 & 12, Lakewood, New Jersey or can
call to book an appointment on 732-363-5558.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.