Sultan Sherzoy
Individual provider Active NPI General Practice Dentistry · Bogota, NJ
NPI 1609933506 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609933506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 18259 (NJ)
- Practice address
- 85 E Main St
Bogota, NJ 07603 - Phone
- (201) 343-6770
- Fax
- (201) 343-6704
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18259 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18259 | NJ | Yes |
Addresses
Primary practice location
85 E Main St
Bogota, NJ 07603
Mailing address
85 E Main St
Bogota, NJ 07603
Phone (201) 343-6770
Other providers in Bogota, NJ
- Rowe Plastic Surgery of New Jersey LLC Norman Rowe Sole MBR
- Otise Schuk
- Melissa Ann Schwedhelm
- Pamela Sencion-Santos
- Sharon Wieder Nutrition LLC
- Sicolo Fitness Institute LLC
- Special Homes of New Jersey, Inc.
- St Mary Family Physical Therapy PC
- Erica Strubbe-Montalvo
- The Arc of Bergen and Passaic Counties, Inc.
All providers in Bogota, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.