SHELTON ORAL SURGERY & IMPLANT CENTER, PC
NPI 1649834243
Dentist - Oral and Maxillofacial Surgery in Irvington, NJ

Active since April 29, 2019
1146 STUYVESANT AVE, IRVINGTON, NJ 07111(973) 849-6587 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shelton Oral Surgery & Implant Center, Pc NPPES

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

SHELTON ORAL SURGERY & IMPLANT CENTER, PC (NPI 1649834243) is a healthcare organization registered as an oral and maxillofacial surgery in Irvington, New Jersey and active in the NPI registry since April 2019. The organization lists Andrew D Kim, President, as its authorized official.

NPPES Registry Identity

NPI1649834243
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSHELTON ORAL SURGERY & IMPLANT CENTER, PC
Location Address1146 STUYVESANT AVEIrvington, NJ 07111-1059
Mailing Address1146 Stuyvesant AveIrvington, NJ 07111-1059
Organization SubpartNo
Authorized OfficialAndrew D KimPresident · (973) 849-6587
Enumeration DateApril 29, 2019
NPI 1649834243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1146 STUYVESANT AVE, Irvington, NJ 07111

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

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

Dentist (General Practice)
1146 STUYVESANT AVE
IRVINGTON, NJ 07111

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 Oral Surgery & Implant Center, PC's NPI number?

The NPI number for Shelton Oral Surgery & Implant Center, PC is 1649834243. It was assigned to this organization in the NPPES registry on April 29, 2019.

Where is Shelton Oral Surgery & Implant Center, PC located?

Shelton Oral Surgery & Implant Center, PC is located at 1146 Stuyvesant Ave, Irvington, NJ 07111. The listed phone number is (973) 849-6587.

What is Shelton Oral Surgery & Implant Center, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Shelton Oral Surgery & Implant Center, PC was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.