Shon Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02423600 Issued in NJ

Legal business name

SHON DENTAL GROUP PC

Practice address

20 Broadway
Passaic, NJ 07055-5006

Phone

(917) 951-8657

NPI assigned

Aug 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Young Shon, DDSNPI 1750690467

Title

Owner/Dentist

Phone

(917) 951-8657

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Young Joon Shon, D.D.S.

  • Dentist
  • Passaic, NJ
  • NPI 1750690467
  NPD (past) Authorized official

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

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471132800000",
    "number": "1356895791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 3RD ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BROADWAY",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555006",
            "telephone_number": "917-951-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHON DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-14",
        "last_updated": "2016-08-14",
        "status": "A",
        "authorized_official_last_name": "SHON",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "917-951-8657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02423600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marni R Shaw, LCSW
• Aseel Shehadeh
• Evgeny Shelkov, CNIM
• Dhara N Shihora
• Shira Freudenberger PSYD LLC
• Young Joon Shon, D.D.S.
• Shoprite Pharmacy
• Shoprx Pharmacy Inc.
• Chava Mindl Shpilsky, CFY SLP
• Shree Ganesh Pharmacy LLC

• Dentist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; 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.