SHELTON DENTAL PA
NPI 1487840070
Dentist - General Practice in Newark, NJ

Active since September 18, 2007
573 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102(973) 622-3614(973) 792-0820 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelton Dental Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELTON DENTAL PA (NPI 1487840070) is a healthcare organization registered as a general practice in Newark, New Jersey and active in the NPI registry since September 2007. The organization lists Godfrey P Shelton, Owner, as its authorized official.

NPPES Registry Identity

NPI1487840070
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHELTON DENTAL PA
Location Address573 MARTIN LUTHER KING JR BLVDNewark, NJ 07102-1215
Mailing Address192 Prospect AveMaywood, NJ 07607-1200 · (973) 622-3614 · Fax (973) 792-0820
Fax(973) 792-0820
Organization SubpartNo
Authorized OfficialGodfrey P SheltonOwner · (973) 622-3614
Enumeration DateSeptember 18, 2007
Last NPPES UpdateMarch 13, 2012
NPI 1487840070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NJ · DI10706
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
573 MARTIN LUTHER KING JR BLVD, Newark, NJ 07102

Other Identifiers 1

Medicaid2639700NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
573 MARTIN LUTHER KING JR BLVD
NEWARK, NJ 07102
Dentist (General Practice)
573 MARTIN LUTHER KING JR BLVD
NEWARK, NJ 07102
Dentist (Oral and Maxillofacial Surgery)
573 MARTIN LUTHER KING JR BLVD
NEWARK, NJ 07102
Dentist (General Practice)
573 MARTIN LUTHER KING JR BLVD
NEWARK, NJ 07102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelton Dental PA's NPI number?

The NPI number for Shelton Dental PA is 1487840070. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Shelton Dental PA located?

Shelton Dental PA is located at 573 Martin Luther King Jr Blvd, Newark, NJ 07102. The listed phone number is (973) 622-3614.

What is Shelton Dental PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shelton Dental PA was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.