Dr. Scott H Shacknow, DMD
Dentist, General Practice in East Rutherford, New Jersey
1376633677- Practice location
- 196 Paterson Ave, East Rutherford, NJ 07073-1841
- Phone
- 201-438-8717
- Fax
- 201-438-2514
- Last updated
- July 8, 2007
Scott H Shacknow is a Dentist, General Practice based in East Rutherford, NJ. Scott H Shacknow practices in East Rutherford, NJ and has the professional credentials of DMD. The NPI Number for Scott H Shacknow is 1376633677 and holds a License No. di15424 (NJ). The current practice location address for Scott H Shacknow is 196 Paterson Ave, East Rutherford, NJ 07073-1841 and can be reached out via phone at 201-438-8717 and via fax at 201-438-2514.
Provider Profile Details
- NPI Number
- 1376633677
- Provider Name
- Scott H Shacknow
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 196 Paterson Ave, East Rutherford, NJ 07073-1841
- Phone Number
- 201-438-8717
- Fax Number
- 201-438-2514
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 15, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 196 Paterson Ave
East Rutherford, NJ 07073-1841 - City
- East Rutherford
- State
- New Jersey
- Zip
- 07073-1841
- Phone Number
- 201-438-8717
- Fax Number
- 201-438-2514
Provider Business Mailing Address Details
- Address
- 196 Paterson Ave
East Rutherford, NJ 07073-1841 - City
- East Rutherford
- State
- NJ
- Zip
- 07073-1841
- Phone Number
- 201-438-8717
- Fax Number
- 201-438-2514
License Information
- License Number
- di15424
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near East Rutherford, NJ
View all Dentist, General Practice providers in East Rutherford →Frequently Asked Questions
What is the NPI number of Dr. Scott H Shacknow, DMD?
The NPI number of Dr. Scott H Shacknow, DMD is 1376633677. It was assigned on October 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Scott H Shacknow, DMD?
Dr. Scott H Shacknow, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number di15424.
Where does Dr. Scott H Shacknow, DMD practice?
The practice location is 196 Paterson Ave, East Rutherford, NJ 07073-1841. The office can be reached at 201-438-8717 (phone) or 201-438-2514 (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 1376633677 directly on the NPPES registry website.