Shelton Dental Pa

LBN: Shelton Dental Pa
Shelton Dental Pa is an health care organization with primary practice located at 573 Martin Luther King Jr Blvd , Newark NJ 07102-1215. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Shelton Dental Pa can be contacted via phone (973) 622-3614, or through Shelton, Godfrey P via phone (973) 622-3614.

Contact Information

Primary practice address
573 Martin Luther King Jr Blvd Newark NJ 07102-1215
Phone: (973) 622-3614
Fax: (973) 792-0820
Website:
Map and Directions
Authorized official contact:
Name: Shelton, Godfrey P Doctor of Dental Medicine (DMD)
Phone: (973) 622-3614

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI10706 New Jersey

Profile Details

NPI number 1487840070
LBN Legal business name Shelton Dental Pa
DBA Doing business as
Authorized official Shelton, Godfrey P Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Mar 13th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487840070 NPPES
New Jersey MEDICAID 2639700

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