Shore Oral Maxillo Surgery Group PA
Shore Oral Maxillo Surgery Group PA is an Oral and Maxillofacial Surgery (Dentist) in Lakewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.
- Licensed in
- NJ
- In the registry since
- 2009
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
301 Madison AveLakewood, NJ 08701-3266
Phone: (732) 367-4042
Fax: (732) 905-9210
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence DI09103 (NJ) |
|---|
Record details
| NPI number | 1619104015 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Gaines — Ower · (732) 367-4042 |
| NPI enumerated | June 12, 2009 |
| Last updated in NPPES | June 12, 2009 |
| Mailing address | 301 Madison Ave, Lakewood, NJ 08701-3266 |
Other providers in Lakewood
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Dr. Richard L Gaines, DMD
301 Madison Ave, Lakewood, NJ 08701-3266 · (732) 367-4042
-
Dr. Stephen J Glawson Sr., DMD
400 Madison Ave, Lakewood, NJ 08701-3214 · (732) 363-0800