| Shelton Dental Pa | |
|
573 Martin Luther King Jr Blvd Newark NJ 07102-1215 | |
| (973) 622-3614 | |
| (973) 792-0820 |
| Full Name | Shelton Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 573 Martin Luther King Jr Blvd, Newark, New Jersey |
| Authorized Official Name and Position | Godfrey P Shelton (OWNER) |
| Authorized Official Contact | 9736223614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Dental Pa 192 Prospect Ave Maywood NJ 07607-1200 Ph: (973) 622-3614 | Shelton Dental Pa 573 Martin Luther King Jr Blvd Newark NJ 07102-1215 Ph: (973) 622-3614 |
| NPI Number | 1487840070 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487840070 | NPI | - | NPPES |
| 2639700 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI10706 (New Jersey) | Primary |
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Dental Kidz, Limited Liability Company Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Commerce St, 11th Floor, Newark, NJ 07102 Phone: 973-204-4006 Fax: 800-757-3051 | |
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Childsmiles Group Holdings Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Bleeker St, Newark, NJ 07102 Phone: 973-578-8788 Fax: 973-578-8799 | |
Rutgers Health Dental Associates Os-nwk Dental Clinic Medicare: Medicare Enrolled Practice Location: 90 Bergen St # 7700, Newark, NJ 07103 Phone: 973-972-2444 Fax: 973-972-2441 | |
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