SHORE ORAL MAXILLO SURGERY GROUP PA


Address: 301 Madison Ave, Lakewood, NJ 08701-3266
Phone: 7323674042

SHORE ORAL MAXILLO SURGERY GROUP PA (NPI# 1619104015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619104015
Entity Type Organization
Organization Name SHORE ORAL MAXILLO SURGERY GROUP PA
Practice Address 301 Madison Ave
Lakewood
NJ 08701-3266
Practice Telephone 7323674042
Practice Fax Number 7329059210
Mailing Telephone 7323674042
Mailing Fax Number 7329059210
Enumeration Date 2009-06-12
Last Update Date 2009-06-12
Authorized Official Name DR. RICHARD L GAINES (OWER)
Authorized Official Telephone 7323674042
Authorized Official Credential D.M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DI09103 NJ Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 1642006 05

Office Location

Street Address 301 MADISON AVE
City LAKEWOOD
State NJ
Zip Code 08701-3266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346297975 Ira Kreitman Dentist 301 Madison Ave, Lakewood, NJ 08701-3266 2006-05-28
1073170619 Natalie Werner Speech-Language Pathologist 301 Madison Ave, Lakewood, NJ 08701-3266 2019-05-20
1780041004 Malka J Nussbaum Speech-Language Pathologist 301 Madison Ave, Lakewood, NJ 08701-3266 2016-01-16
1871991208 Rochel Mikel Speech-Language Pathologist 301 Madison Ave, Lakewood, NJ 08701-3266 2014-12-17
1386957710 Vladimir Kleyman Pharmacist 301 Madison Ave, Suite 7, Lakewood, NJ 08701-3266 2010-07-14
1154648277 Joseph Polinsky Dentist 301 Madison Ave, Lakewood, NJ 08701-3266 2010-04-29
1114244878 Prescriptions R Us Pharmacy 301 Madison Ave, Ste 7, Lakewood, NJ 08701-3266 2010-04-21
1063613297 Michael Neiman Dentist 301 Madison Ave, Lakewood, NJ 08701-3266 2007-05-28
1518177377 Joseph Polinsky Dmd LLC Dentist 301 Madison Ave, Lakewood, NJ 08701-3266 2007-05-23
1194935312 Robert L Golden Dentist 301 Madison Ave, Lakewood, NJ 08701-3266 2007-05-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639787393 Sky Care Aba LLC Social Worker 41 Carasaljo Drive, Lakewood, NJ 08701 2020-07-20
1487276325 Teresa Rose Alvarez Counselor 1215 Nj-70 W, Lakewood, NJ 08701 2020-05-14
1417588468 Miriam Pelberg Behavioral Analyst 519 Second St., Lakewood, NJ 08701 2020-01-29
1639700529 Rivky Parnes Occupational Therapy Assistant 110 Hillside Bullivard, Lakewood, NJ 08701 2020-01-29
1659910172 Esther Gold Behavioral Analyst 611 Stirling Ave A, Lakewood Township, NJ 08701 2020-01-01
1649816323 Julie Mcculley Orthotist 1353 River Ave Suite #4, Lakewood, NJ 08701 2019-11-18
1356990782 Lucy Dimeglio Technician 17 Amberlands Court, Lakewood, NJ 08701 2019-09-09
1992262299 Miriam Lichtschein Speech-Language Pathologist 1439 South Street, Lakewood, NJ 08701 2019-02-23
1407326531 Achievements Early Intervention Services Community/Behavioral Health 85a Gladiola Ct, Lakewood, NJ 08701 2018-12-02
1871062224 Ms Optical LLC Eyewear Supplier (Equipment, not the service) 12 America Ave, 1a, Lakewood, NJ 08701 2018-11-15
Find all providers in zip 08701

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194865907 David William Todd Dentist 120 Southwestern Dr, Lakewood, NY 14750 2007-02-08
1972606903 Nicholas C Diamantis Dentist 14700 Detroit Ave, Lakewood, OH 44107 2006-09-06
1407885601 Urban Michael Picard Dentist 15711 Madison Ave Ste 104, Lakewood, OH 44107-5655 2006-07-01
1730156126 Joseph C Piotrowski Dentist 400 Madison Ave, Lakewood, NJ 08701-3214 2006-03-03
1083153985 Cle Oms Lakewood/rocky River - Jeffrey W. Kosman Dds Inc. Dentist 15711 Madison Ave, Suite 104, Lakewood, OH 44107-5655 2017-02-13
1144561002 Brian K. Smith, D.d.s., M.d., Inc. Dentist 14701 Detroit Ave, Suite 333, Lakewood, OH 44107-4109 2013-03-01
1881946309 Peak Oral & Maxillofacial Surgery Center Dentist 2290 Kipling St, Suite 2, Lakewood, CO 80215-1578 2012-10-08
1821256504 Haeman Noori Dentist 2290 Kipling St, Suite 2, Lakewood, CO 80215-1578 2008-05-29
1356567606 Urban M. Picard Dds, Inc Dentist 15711 Madison Ave, Suite #104, Lakewood, OH 44107-5655 2007-04-17
1689797086 Donald A Decino, D.d.s., P,c Dentist 3405 S Yarrow St, Suite A, Lakewood, CO 80227-4965 2007-04-09
Find all providers in LAKEWOOD

Competitor

Search similar providers

City LAKEWOOD
Zip Code 08701

Improve Information

Please comment or provide details below to improve the information on SHORE ORAL MAXILLO SURGERY GROUP PA.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches