# SOMERSET DENTAL PC

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

## Provider details

- **NPI number:** 1912123290
- **Authorized official:** MRS. MITA A SHAH DDS (DENTIST PRESIDENT)
- **Authorized official phone:** (732) 745-9898

## Contact information

- **Practice address:** 1707 RT 27 SOUTH, HEMPSTEAD PLAZA, SOMERSET, NJ 08873-3908
- **Practice address phone:** (732) 745-9898
- **Practice address fax:** (732) 745-9818
- **Mailing address:** 1707 RT 27 SOUTH, HEMPSTEAD PLAZA, SOMERSET, NJ 08873-3908
- **Mailing address phone:** (732) 745-9898
- **Mailing address fax:** (732) 745-9818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 807614 | UNITED CONCORDIA | — |
| 05 | — | 9179730 | — | NJ |