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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shreyas ShahNPI 1659595031

Title

Owner

Phone

(732) 750-3089

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, and the practitioner matching its NPPES authorized official.

• Shreyas Shah, DDS

  • General Practice Dentistry
  • Woodbridge, NJ
  • NPI 1659595031
  Authorized official Same address or phone

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 (Garden State Kidney Center)
• Woodbridge Medical Associates,P.a. (Woodbridge Internal Medical Associates)
• Woodbridge Medical Group, P.a (Main Street Physical Therapy)
• 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.