DR. Scott H Shacknow, D.M.D.
NPI #1376633677 in East Rutherford, New Jersey
Provider Information
- NPI Number
- 1376633677
- Entity Type
- Individual
- Name
- DR. Scott H Shacknow, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Oct 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 196 PATERSON AVE
- City
- East Rutherford
- State
- New Jersey
- ZIP Code
- 07073-1841
- Phone
- (201) 438-8717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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