EASTERN DENTAL OF LACEY, LLC
EASTERN DENTAL OF LACEY, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1689722787, based in Forked River, NJ. The organization lists 2 taxonomy classifications, with Oral and Maxillofacial Surgery (Dentist) recorded as primary.
Getting there
The practice address on file is 131 S MAIN ST, Forked River, NJ 08731. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 10967 | NJ | Oral and Maxillofacial Surgery (Dentist) primary |
| 17953 | NJ | General Practice Dentistry |
This provider holds licence 10967 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Oral and Maxillofacial Surgery covers
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NUCC Health Care Provider Taxonomy, code 1223S0112X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | 10967 | NJ | primary |
| 1223G0001X | General Practice Dentistry General Practice | 17953 | NJ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1689722787 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 8, 2007 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
131 S MAIN ST Forked River, NJ 08731 (609) 693-6066 |
| Mailing address |
1030 SAINT GEORGES AVE Avenel, NJ 07001 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 8 | 9 | 7 | 2 | 2 | 7 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 7 | 9 | 5 | 2 | 4 | 7 | 7 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.