Shelton Dental PA
NPI #1487840070 in Newark, New Jersey
Provider Information
- NPI Number
- 1487840070
- Entity Type
- Organization
- Organization Name
- Shelton Dental PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 18, 2007
- Last Updated
- Mar 13, 2012
Practice Location
- Address
- 573 MARTIN LUTHER KING JR BLVD
- City
- Newark
- State
- New Jersey
- ZIP Code
- 07102-1215
- Phone
- (973) 622-3614
Authorized Official
- Name
- MR. GODFREY P SHELTON, D.M.D.
- Title
- OWNER
- Phone
- (973) 622-3614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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