Mark D Sheklian, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15140 Issued in NJ

Legal business name

MARK D SHEKLIAN, DMD, PA

Practice address

1330 Laurel Ave
BLDG 3, Ste 301
Sea Girt, NJ 08750-2300

Phone

(732) 449-8700

Fax

(732) 449-8177

NPI assigned

Mar 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Dennis Sheklian, DMDNPI 1942325386

Title

Owner

Phone

(732) 449-8700

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Dennis Sheklian, DMD

  • General Practice Dentistry
  • Manasquan, NJ
  • NPI 1942325386
  NPD Authorized official
• Sandeep Konda, DDS

  • Dentist
  • Manasquan, NJ
  • NPI 1649023250
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1184743908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LAUREL AVE",
            "address_2": "BLDG 3, STE 301",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502300",
            "telephone_number": "732-449-8700",
            "fax_number": "732-449-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LAUREL AVE",
            "address_2": "BLDG 3, STE 301",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502300",
            "telephone_number": "732-449-8700",
            "fax_number": "732-449-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D SHEKLIAN, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SHEKLIAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-449-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "15140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Little, DDS
• John P Little, DMD
• Zilie Roselyn Louis
• Mary B Lutz, M.D.
• Mager Enterprises Inc.
• Brian Markoski, DC
• Ann L. Maroulis, MSN NP
• Karen Ann Marzulli, LPT
• Raymond Mark Masterson, M.D.
• Emily Mathesen

• General Practice Dentistry in Sea Girt, NJ
• Providers in Sea Girt, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.