Shore Pediatric Dental Group in Red Bank - Dentist
Shore Pediatric Dental Group - NPI 1730114232
Shore Pediatric Dental Group is a Dentist in Red Bank, New Jersey. Shore Pediatric Dental Group practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shore Pediatric Dental Group is 1730114232. The last update date is 2011-12-12.
Shore Pediatric Dental Group's current location address is 152 Broad St, Red Bank, New Jersey. You can contact this provider via phone number 7328425577 and fax number 7328428253. The mailing address for Shore Pediatric Dental Group is 152 Broad St, Red Bank, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shore Pediatric Dental Group |
|---|---|
| Address | 152 Broad St, Red Bank, New Jersey |
| Phone Number | 7328425577 |
| Fax Number | 7328428253 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lieberman H William |
| Credentials | DDS |
| Telephone Number | 7328425577 |
NPI Number Detail
| NPI Number | 1730114232 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2011-12-12 |
Provider Mailing Address Detail
| Address | 152 Broad St |
|---|---|
| City | Red Bank |
| State | New Jersey (NJ) |
| Post Code | 77012046 |
| Phone Number | 7328425577 |
| Fax Number | 7328428253 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Shore Pediatric Dental Group's unique identification number?
The Shore Pediatric Dental Group has been assigned the NPI (National Provider Identifier) Number 1730114232 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Shore Pediatric Dental Group located?
The Shore Pediatric Dental Group is located at 152 Broad St, Red Bank, NJ 77012046.
What is Shore Pediatric Dental Group's area of expertise and its corresponding taxonomy classification?
The Shore Pediatric Dental Group's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1730114232 to Shore Pediatric Dental Group?
The Shore Pediatric Dental Group received its 1730114232 assignment from the Centers for Medicare & Medicaid Services on 2006-07-12.
When was the information related to Shore Pediatric Dental Group most recently updated or refreshed?
The details pertaining to the Shore Pediatric Dental Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-12-12.
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