Provider Demographics
NPI:1366524456
Name:TWENTY-FIRST CENTURY DENTAL, P.C.
Entity type:Organization
Organization Name:TWENTY-FIRST CENTURY DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-922-1060
Mailing Address - Street 1:4001 ASBURY AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-7793
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4001 ASBURY AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07753-7793
Practice Address - Country:US
Practice Address - Phone:732-922-1060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty