Organization
SHORE ORTHODONTICS, PA
Active
Other names
New Jersey Dental Sleep Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN HENRY PEARSON DDS (OWNER)
(732) 255-1516
Entity
Organization
Contact information
Practice address
1510 HOOPER AVE, TOMS RIVER, NJ 08753-2228
(732) 255-1516
Mailing address
1510 HOOPER AVE, TOMS RIVER, NJ 08753-2228
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7468440001
PTAN
NY
Enumeration date
06/09/2016
Last updated
06/09/2016
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