# MARK D SHEKLIAN, DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184743908
- **Authorized official:** DR. MARK DENNIS SHEKLIAN DMD (OWNER)
- **Authorized official phone:** (732) 449-8700

## Contact information

- **Practice address:** 1330 LAUREL AVE, BLDG 3, STE 301, SEA GIRT, NJ 08750-2300
- **Practice address phone:** (732) 449-8700
- **Practice address fax:** (732) 449-8177
- **Mailing address:** 1330 LAUREL AVE, BLDG 3, STE 301, SEA GIRT, NJ 08750-2300
- **Mailing address phone:** (732) 449-8700
- **Mailing address fax:** (732) 449-8177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 15140 | NJ | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 05/06/2008