# JEFFREY MARTIN SHUBACH D.M.D.; F.A.G.D.; P.A.

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

## Provider details

- **NPI number:** 1811075864
- **Authorized official:** DR. JEFFREY MARTIN SHUBACH D.M.D. F.A.G.D. (PRESIDENT)
- **Authorized official phone:** (856) 435-3333

## Contact information

- **Practice address:** 1307 WHITE HORSE RD, STAFFORDSHIRE PROFESSIONAL CNTR. E 502, VOORHEES, NJ 08043-2176
- **Practice address phone:** (856) 435-3333
- **Mailing address:** 154 LUCERNE BLVD, CHERRY HILL, NJ 08003-5115
- **Mailing address phone:** (856) 424-4785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | NJ 11095 | NJ | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 02/14/2013
