Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY SHAK
Active Sole ProprietorJIMMY SHAK is a Pediatric Dentistry healthcare provider located in OLD BRIDGE, New Jersey. NPI 1285132530 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · OLD BRIDGE, NJ
Registration Details
- NPI Number
- 1285132530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2018 (8.5024392477383 yrs)
- Last Updated
- May 17, 2021
- License
-
22DI02796200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2455 ROUTE 516 FL 1OLD BRIDGE, NJ, 088571892Browse NJ providers · Browse ZIP 08857
- Phone
- 6462036960
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in OLD BRIDGE, NJ
| Name | Credential | NPI |
|---|---|---|
| CAVAN MICHAEL BRUNSDEN | DMD | 1629192174 |
| DR. SATHISH IYER | D.D.S | 1740491471 |
| DR. AFREEN HOQUE | DDS | 1891040598 |
| HILLARY ROSEN KHODARI | DMD | 1215328513 |
| ILONA ALEKSANDROVICH | DDS | 1104481274 |
| JUSTIN SHANE DINOWITZ | DMD | 1912521865 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.