# SHELTON DENTAL PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1295861987
- **Authorized official:** MRS. MARIA SHELTON (MANAGER)
- **Authorized official phone:** (973) 622-3614

## Contact information

- **Practice address:** 573 MARTIN LUTHER KING BLVD, NEWARK, NJ 07102
- **Practice address phone:** (973) 622-3614
- **Practice address fax:** (973) 622-1710
- **Mailing address:** 573 MARTIN LUTHER KING BLVD, NEWARK, NJ 07102
- **Mailing address phone:** (973) 622-3614
- **Mailing address fax:** (973) 622-1710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4941 | NJ | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020