SHORE ORAL AND MAXILLOFACIAL SURGERY, LLC
NPI 1952680100
Dentist - Oral and Maxillofacial Surgery in Galloway, NJ

Active since August 05, 2011
54 W JIMMIE LEEDS RD, SUITE 6, GALLOWAY, NJ 08205(609) 748-9600(609) 748-9611 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shore Oral And Maxillofacial Surgery, Llc NPPES

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

SHORE ORAL AND MAXILLOFACIAL SURGERY, LLC (NPI 1952680100) is a healthcare organization registered as an oral and maxillofacial surgery in Galloway, New Jersey and active in the NPI registry since August 2011. The organization lists Boris Kalika, Owner, as its authorized official.

NPPES Registry Identity

NPI1952680100
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSHORE ORAL AND MAXILLOFACIAL SURGERY, LLC
Location Address54 W JIMMIE LEEDS RD, SUITE 6Galloway, NJ 08205-9438
Mailing Address54 W Jimmie Leeds Rd, Suite 6Galloway, NJ 08205-9438 · (609) 748-9600 · Fax (609) 748-9611
Fax(609) 748-9611
Organization SubpartNo
Authorized OfficialBoris KalikaOwner · (609) 748-9600
Enumeration DateAugust 5, 2011
Last NPPES UpdateOctober 18, 2011
NPI 1952680100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NJ · 22DI02243200
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.
54 W JIMMIE LEEDS RD, Galloway, NJ 08205

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 20

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

Internal Medicine (Hematology & Oncology)
54 W JIMMIE LEEDS RD, SUITE 11
GALLOWAY, NJ 08205
Licensed Practical Nurse
54 W JIMMIE LEEDS RD, SUITE 8
GALLOWAY, NJ 08205
Pharmacist
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Clinic/Center (Federally Qualified Health Center (FQHC))
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Nurse Practitioner
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Internal Medicine (Cardiovascular Disease)
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Pharmacist
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Pharmacist
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205

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 Shore Oral And Maxillofacial Surgery, LLC's NPI number?

The NPI number for Shore Oral And Maxillofacial Surgery, LLC is 1952680100. It was assigned to this organization in the NPPES registry on August 5, 2011.

Where is Shore Oral And Maxillofacial Surgery, LLC located?

Shore Oral And Maxillofacial Surgery, LLC is located at 54 W Jimmie Leeds Rd Suite 6, Galloway, NJ 08205. The listed phone number is (609) 748-9600.

What is Shore Oral And Maxillofacial Surgery, LLC'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 Shore Oral And Maxillofacial Surgery, LLC was last updated on October 18, 2011. 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.