Shore Dental Sleep Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI018330 Issued in NJ

Legal business name

SHORE DENTAL SLEEP CARE

Practice address

273 Route 34
Colts Neck, NJ 07722-2437

Phone

(732) 761-8300

Fax

(732) 761-9771

NPI assigned

Feb 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John M Young Jr., DDSNPI 1619043247

Title

President

Phone

(732) 761-8300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Young Jr., DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brick, NJ
  • NPI 1619043247
  NPD (past) Authorized official

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1447674338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 ROUTE 34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222437",
            "telephone_number": "732-761-8300",
            "fax_number": "732-761-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 ROUTE 34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222437",
            "telephone_number": "732-761-8300",
            "fax_number": "732-761-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE DENTAL SLEEP CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-761-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI018330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Scianni, D.M.D.
• Sea & Spine Chiropractic
• Sheridan Radiology Services of Central FL, Inc.
• Sheridan Radiology Services of Pinellas, Inc.
• Elaine Shor, LPC, ATR-BC
• Shore Dermatology LLC
• Shore Sleep and Wellness LLC
• Shore Sleep Solutions LLC
• Bryan Allan Shumaker, DDS
• Sllccninc.

• Dental Clinic/Center in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.