Individual provider · Type 1 NPI

Shahram Shadfar, DMD

Pediatric Dentistry · Toms River, NJ

NPI number 1194950113 Active

Practice location

601 Route 37 W Ste 102
Toms River, NJ 08755-8050

Fax (732) 240-1121

Mailing address

7410 Ridge Blvd Apt 5N
Brooklyn, NY 11209-2334

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X22DI02402300 (NJ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1194950113

Shahram Shadfar, DMD's National Provider Identifier is 1194950113, issued on May 19, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Toms River, NJ. The record was last updated on May 19, 2009.