Provider Demographics
NPI:1154348001
Name:JOSEPH A. OLESKE III, DDS, P.C.
Entity type:Organization
Organization Name:JOSEPH A. OLESKE III, DDS, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:OLESKE
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-363-4477
Mailing Address - Street 1:838 RIVER AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5218
Mailing Address - Country:US
Mailing Address - Phone:732-363-4477
Mailing Address - Fax:732-905-7085
Practice Address - Street 1:838 RIVER AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5218
Practice Address - Country:US
Practice Address - Phone:732-363-4477
Practice Address - Fax:732-905-7085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty