# ATLANTIC ENDODONTICS LLC

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

## Provider details

- **NPI number:** 1659612158
- **Authorized official:** NEHA SHAH DMD (OWNER)
- **Authorized official phone:** (609) 568-6415

## Contact information

- **Practice address:** 235 E. JIMMIE LEEDS ROAD, GALLOWAY, NJ 08205
- **Practice address phone:** (609) 568-6415
- **Practice address fax:** (609) 568-6413
- **Mailing address:** 235 E. JIMMIE LEEDS ROAD, GALLOWAY, NJ 08205
- **Mailing address phone:** (609) 568-6415
- **Mailing address fax:** (609) 568-6413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223E0200X | Endodontics | — | — | — |

## Other

- **Enumeration date:** 03/07/2013
- **Last updated:** 03/07/2013