Active NPIIndividual provider

Shannel Beckles, DDS

Dentist in East Orange, New Jersey

NPI Number1679043624
Practice location
15 Freeman Ave, East Orange, NJ 07018
Fax
—
Last updated
June 30, 2019

Shannel Beckles is a Dentist based in East Orange, NJ. Shannel Beckles practices in East Orange, NJ and has the professional credentials of DDS. The NPI Number for Shannel Beckles is 1679043624 and holds a License No. 22DI02730800 (NJ). The current practice location address for Shannel Beckles is 15 Freeman Ave, East Orange, NJ 07018 and can be reached out via phone at 973-813-7263.

Provider Profile Details

NPI Number
1679043624
Provider Name
Shannel Beckles
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
15 Freeman Ave, East Orange, NJ 07018
Phone Number
973-813-7263
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
December 3, 2018
Last Update Date
June 30, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Freeman Ave
East Orange, NJ 07018
Zip
07018
Phone Number
973-813-7263
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
405 Grier Ave Apt A3
Elizabeth, NJ 07202-3354
City
Elizabeth
State
NJ
Zip
07202-3354

License Information

License Number
22DI02730800
License State
NJ
Taxonomy
Dentist · 122300000X · 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 Shannel Beckles, DDS?

The NPI number of Shannel Beckles, DDS is 1679043624. It was assigned on December 3, 2018 and is currently active in the NPPES registry.

What is the specialty of Shannel Beckles, DDS?

Shannel Beckles, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02730800.

Where does Shannel Beckles, DDS practice?

The practice location is 15 Freeman Ave, East Orange, NJ 07018. The office can be reached at 973-813-7263 (phone).

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 1679043624 directly on the NPPES registry website.

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