Active NPIIndividual providerSole proprietor

Dr. Godfrey P Shelton, DMD

Dentist, General Practice in Newark, New Jersey

NPI Number1811977598
Practice location
573 Martin Luther King Jr Blvd, Newark, NJ 07102-1215
Fax
973-792-0820
Last updated
April 3, 2012

Godfrey P Shelton is a Dentist, General Practice based in Newark, NJ. Godfrey P Shelton practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Godfrey P Shelton is 1811977598 and holds a License No. DI10706 (NJ). The current practice location address for Godfrey P Shelton is 573 Martin Luther King Jr Blvd, Newark, NJ 07102-1215 and can be reached out via phone at 973-622-3614 and via fax at 973-792-0820.

Provider Profile Details

NPI Number
1811977598
Provider Name
Godfrey P Shelton
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
573 Martin Luther King Jr Blvd, Newark, NJ 07102-1215
Phone Number
973-622-3614
Fax Number
973-792-0820
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 19, 2006
Last Update Date
April 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
573 Martin Luther King Jr Blvd
Newark, NJ 07102-1215
City
Newark
Zip
07102-1215
Phone Number
973-622-3614
Fax Number
973-792-0820
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
192 Prospect Ave
Maywood, NJ 07607-1200
City
Maywood
State
NJ
Zip
07607-1200
Phone Number
201-843-5344
Fax Number
973-792-0820

License Information

License Number
DI10706
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. Godfrey P Shelton, DMD?

The NPI number of Dr. Godfrey P Shelton, DMD is 1811977598. It was assigned on January 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Godfrey P Shelton, DMD?

Dr. Godfrey P Shelton, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI10706.

Where does Dr. Godfrey P Shelton, DMD practice?

The practice location is 573 Martin Luther King Jr Blvd, Newark, NJ 07102-1215. The office can be reached at 973-622-3614 (phone) or 973-792-0820 (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 1811977598 directly on the NPPES registry website.

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