Individual provider · Type 1 NPI
Jimmy Shak
Pediatric Dentistry · Old Bridge, NJ
NPI number
1285132530
Active
Practice location
2455 Route 516 Fl 1
Old Bridge, NJ 08857-1892
Mailing address
8 Floral Terrace
Tenafly, NJ 07670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 22DI02796200 (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.
2 other providers at this address
Other pediatric dentistry providers in Old Bridge
- Ilona Aleksandrovich, DDSPediatric Dentistry Old Bridge, NJ NPI 1104481274
- Hillary Rosen Khodari, DMDPediatric Dentistry Old Bridge, NJ NPI 1215328513
- Cavan Michael Brunsden, DMDPediatric Dentistry Old Bridge, NJ NPI 1629192174
- Sathish Iyer, D.D.SPediatric Dentistry Old Bridge, NJ NPI 1740491471
- Afreen Hoque, DDSPediatric Dentistry Old Bridge, NJ NPI 1891040598
- Justin Shane Dinowitz, DMDPediatric Dentistry Old Bridge, NJ NPI 1912521865
About NPI 1285132530
Jimmy Shak's National Provider Identifier is 1285132530, issued on Jan 31, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Old Bridge, NJ. The record was last updated on May 17, 2021.