Active NPIOrganization

Shelton Oral Surgery PA

Dentist, Oral and Maxillofacial Surgery in Newark, New Jersey

NPI Number1417083106
Practice location
573 Martin Luther King Blvd, Newark, NJ 07102
Fax
973-622-1710
Last updated
September 25, 2007

Shelton Oral Surgery PA is a healthcare organization based in Newark, NJ. Shelton Oral Surgery PA practices in Newark, NJ. The NPI Number for Shelton Oral Surgery PA is 1417083106 and holds a License No. 08689 (NJ). The current practice location address for Shelton Oral Surgery PA is 573 Martin Luther King Blvd, Newark, NJ 07102 and can be reached out via phone at 973-621-6678 and via fax at 973-622-1710.

Provider Profile Details

NPI Number
1417083106
Provider Name
Shelton Oral Surgery PA
Provider Entity Type
Organization
Address
573 Martin Luther King Blvd, Newark, NJ 07102
Phone Number
973-621-6678
Fax Number
973-622-1710
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Mrs. Maria Shelton · Manager · 973-621-6678
Provider Enumeration Date
February 26, 2007
Last Update Date
September 25, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
573 Martin Luther King Blvd
Newark, NJ 07102
City
Newark
Zip
07102
Phone Number
973-621-6678
Fax Number
973-622-1710
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
573 Martin Luther King Blvd
Newark, NJ 07102
City
Newark
State
NJ
Zip
07102
Phone Number
973-621-6678
Fax Number
973-622-1710

License Information

License Number
08689
License State
NJ
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 Shelton Oral Surgery PA?

The NPI number of Shelton Oral Surgery PA is 1417083106. It was assigned on February 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Shelton Oral Surgery PA?

Shelton Oral Surgery PA is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 08689.

Where does Shelton Oral Surgery PA practice?

The practice location is 573 Martin Luther King Blvd, Newark, NJ 07102. The office can be reached at 973-621-6678 (phone) or 973-622-1710 (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 1417083106 directly on the NPPES registry website.

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