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SHREWSBURY FAMILY DENTAL LLC NPI 1376823500


NPI Information

NPI: 1376823500
Provider Name: SHREWSBURY FAMILY DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 31D2199729

Address:
555 SHREWSBURY AVE
SHREWSBURY, NJ
ZIP 07702
Phone: (732) 747-9333
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SHREWSBURY FAMILY DENTAL, LLC is a general practice dentist in Shrewsbury, NJ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SHREWSBURY FAMILY DENTAL, LLC NPI is 1376823500. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

555 SHREWSBURY AVE
SHREWSBURY, NJ
ZIP 07702-178
Phone: (732) 747-9333
Fax: (732) 747-6365

The provider's authorized official is Michael E Keller .
The authorized official title is Owner/president and has the following contact phone number (732) 747-9333.

The CLIA number assigned to this NPI record is 31D2199729 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2011 and was last updated on 8/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice23195NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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