Organization
SHORE ORAL MAXILLO SURGERY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L GAINES D.M.D. (OWER)
(732) 367-4042
Entity
Organization
Contact information
Practice address
301 MADISON AVE, LAKEWOOD, NJ 08701-3266
(732) 367-4042
(732) 905-9210
Mailing address
301 MADISON AVE, LAKEWOOD, NJ 08701-3266
(732) 367-4042
(732) 905-9210
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DI09103
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1642006
—
NJ
Enumeration date
06/12/2009
Last updated
06/12/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us