Active NPIOrganization

Gregory M. Shupik, D.m.d., P.a.

Dentist, Periodontics in Cherry Hill, New Jersey

NPI Number1053538116
Practice location
1910 Marlton Pike E, Suite 2, Cherry Hill, NJ 08003-2123
Fax
856-751-4975
Last updated
October 18, 2011

Gregory M. Shupik, D.m.d., P.a. is a healthcare organization based in Cherry Hill, NJ. Gregory M. Shupik, D.m.d., P.a. practices in Cherry Hill, NJ. The NPI Number for Gregory M. Shupik, D.m.d., P.a. is 1053538116 and holds a License No. 22DI00971800 (NJ). The current practice location address for Gregory M. Shupik, D.m.d., P.a. is 1910 Marlton Pike E, Suite 2, Cherry Hill, NJ 08003-2123 and can be reached out via phone at 856-428-4746 and via fax at 856-751-4975.

Provider Profile Details

NPI Number
1053538116
Provider Name
Gregory M. Shupik, D.m.d., P.a.
Provider Entity Type
Organization
Address
1910 Marlton Pike E, Suite 2, Cherry Hill, NJ 08003-2123
Phone Number
856-428-4746
Fax Number
856-751-4975
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. Gregory M. Shupik, DMD · Periodontist · 856-428-4746
Provider Enumeration Date
April 19, 2007
Last Update Date
October 18, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1910 Marlton Pike E
Suite 2
Cherry Hill, NJ 08003-2123
Zip
08003-2123
Phone Number
856-428-4746
Fax Number
856-751-4975
Cherry Hill, NJ 08003Get directions →

Provider Business Mailing Address Details

Address
1910 Marlton Pike E
Suite 2
Cherry Hill, NJ 08003-2123
City
Cherry Hill
State
NJ
Zip
08003-2123
Phone Number
856-428-4746
Fax Number
856-751-4975

License Information

License Number
22DI00971800
License State
NJ
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gregory M. Shupik, D.m.d., P.a.?

The NPI number of Gregory M. Shupik, D.m.d., P.a. is 1053538116. It was assigned on April 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Gregory M. Shupik, D.m.d., P.a.?

Gregory M. Shupik, D.m.d., P.a. is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number 22DI00971800.

Where does Gregory M. Shupik, D.m.d., P.a. practice?

The practice location is 1910 Marlton Pike E, Suite 2, Cherry Hill, NJ 08003-2123. The office can be reached at 856-428-4746 (phone) or 856-751-4975 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053538116 directly on the NPPES registry website.

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