DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SCOTT H SHACKNOW, D.M.D.

Active Sole Proprietor

General Dentistry · EAST RUTHERFORD, NJ

Registration Details

NPI Number
1376633677
Provider Type
Individual
Gender
Male
NPI Issued
Oct 15, 2006 (19.559192150157 yrs)
Last Updated
Jul 8, 2007
License
DI15424 (NJ)
Sole Proprietor
Yes

Practice Information

Address
196 PATERSON AVE
EAST RUTHERFORD, NJ, 070731841
Browse NJ providers · Browse ZIP 07073
Phone
2014388717
Fax
2014382514
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in EAST RUTHERFORD, NJ

Name Credential NPI
DR. BERNADETTA FRANCISZKA MESSANA D.M.D. 1083631881
DR. GEORGE EDWARD HARSHBERGER DDS 1972604726
ADYA SHROTRIYA DDS 1811136104
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.