Provider Demographics
NPI:1790906584
Name:COMP CARE 2000, LLC
Entity Type:Organization
Organization Name:COMP CARE 2000, LLC
Other - Org Name:MONMOUTH DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MARON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-542-7770
Mailing Address - Street 1:288 STATE ROUTE 35 S
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2105
Mailing Address - Country:US
Mailing Address - Phone:732-542-7770
Mailing Address - Fax:732-542-4244
Practice Address - Street 1:288 STATE ROUTE 35 S
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2105
Practice Address - Country:US
Practice Address - Phone:732-542-7770
Practice Address - Fax:732-542-4244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023404001223G0001X
NJ22DI022041001223G0001X
NJ119101223G0001X
NJ022907001223G0001X
NJ201621223G0001X
NJ18369021223P0106X
NJ22DI021407001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Multi-Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty