Edward V. Shagam, .D.D.S., P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS 11833 Issued in NJ

Legal business name

EDWARD V. SHAGAM, .D.D.S., P.A.

Practice address

9 Garden St # 11
Mount Holly, NJ 08060-1839

Phone

(609) 267-2266

Fax

(856) 983-1334

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward V Shagam, D.D.S.

Title

President

Phone

(609) 267-2266

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992724074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GARDEN ST # 11",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601839",
            "telephone_number": "609-267-2266",
            "fax_number": "856-983-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GARDEN ST # 11",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601839",
            "telephone_number": "609-267-2266",
            "fax_number": "856-983-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD V. SHAGAM, .D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAGAM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-267-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DS 11833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatara Ciara Downing
• William John Doyle, APN, FNP-C
• Dr. Philip H. Varner
• Hannah L Durning, PA-C
• Catherine L Dwosh, M.S., A.P.N.-C
• Maged Y Eldabh, RPH
• Daniel Elisha, M.D
• Jordan Ellington
• Ebony Olivia Ellis
• Emergency Physician Services of New Jersey,Professional Association

• Orthodontics and Dentofacial Orthopedics Dentistry in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.