Shelton Oral Surgery Pa in Newark - Oral And Maxillofacial Surgery
Shelton Oral Surgery Pa - NPI 1417083106
Shelton Oral Surgery Pa is a Oral And Maxillofacial Surgery in Newark, New Jersey. Shelton Oral Surgery Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Shelton Oral Surgery Pa is 1417083106. The last update date is 2007-09-25.
Shelton Oral Surgery Pa's current location address is 573 Martin Luther King Blvd, Newark, New Jersey. You can contact this provider via phone number 9736216678 and fax number 9736221710. The mailing address for Shelton Oral Surgery Pa is 573 Martin Luther King Blvd, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shelton Oral Surgery Pa |
|---|---|
| Address | 573 Martin Luther King Blvd, Newark, New Jersey |
| Phone Number | 9736216678 |
| Fax Number | 9736221710 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Shelton Maria |
| Telephone Number | 9736216678 |
NPI Number Detail
| NPI Number | 1417083106 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 573 Martin Luther King Blvd |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 7102 |
| Phone Number | 9736216678 |
| Fax Number | 9736221710 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 8689 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shelton Oral Surgery Pa by the Centers for Medicare & Medicaid Services?
The Shelton Oral Surgery Pa has been assigned the NPI (National Provider Identifier) 1417083106 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shelton Oral Surgery Pa?
The Shelton Oral Surgery Pa is physically situated at 573 Martin Luther King Blvd, in the city of Newark, state of NJ, with the postal code 7102.
What is Shelton Oral Surgery Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shelton Oral Surgery Pa is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417083106 to Shelton Oral Surgery Pa?
The Shelton Oral Surgery Pa received its 1417083106 assignment from the Centers for Medicare & Medicaid Services on 2007-02-26.
When was the information pertaining to Shelton Oral Surgery Pa most recently updated or revised?
The details related to Shelton Oral Surgery Pa, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-25.
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