Organization · Type 2 NPI

Edward V. Shagam, .d.d.s., P.a.

Orthodontics and Dentofacial Orthopedics Dentistry · Mount Holly, NJ

NPI number 1992724074 Active

Practice location

9 Garden St # 11
Mount Holly, NJ 08060-1839

Fax (856) 983-1334

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDS 11833 (NJ)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1992724074

Edward V. Shagam, .d.d.s., P.a.'s National Provider Identifier is 1992724074, issued on Jul 19, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mount Holly, NJ. The record was last updated on Aug 22, 2020.