Woodbridge Centre Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02287503 Issued in NJ

Legal business name

WOODBRIDGE CENTRE DENTAL

Practice address

294 Woodbridge Center Drive
Woodbridge, NJ 07095

Phone

(732) 750-3080

Fax

(732) 750-3098

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shreyas Shah

Title

Owner

Phone

(732) 750-3089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992918288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 WOODBRIDGE CENTER DRIVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "telephone_number": "732-750-3080",
            "fax_number": "732-750-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 WOODBRIDGE CENTER DRIVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "telephone_number": "732-750-3080",
            "fax_number": "732-750-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE CENTRE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHREYAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-750-3089",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02287503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Wiley, MD
• Nakisha Williams, LAC
• Martin Willis
• Shannon Witkowski, NP-C
• Woodbridge Board of Education
• Woodbridge Dental LLC
• Woodbridge Dialysis Center LLC
• Woodbridge Medical Associates,P.a.
• Woodbridge Medical Group, P.a
• Woodbridge Sleep Center LLC

• General Practice Dentistry in Woodbridge, NJ
• Providers in Woodbridge, 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 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.