National Provider Identifier Database

AVON DENTAL GROUP LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

AVON DENTAL GROUP, LLC
608 MAIN ST
AVON-BY-THE-SEA, NJ07717-1020
Phone: 732-775-3531
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for AVON DENTAL GROUP, LLC

NPI Number 1538397773
Legal business name
LBN
AVON DENTAL GROUP, LLC
Authorized official JOHN RASSIAS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/25/2009
Last updated 06/25/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 22DIO2162500

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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