Provider Demographics
NPI:1205177789
Name:DENNING, SHAWN ALAN JR (APN)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:ALAN
Last Name:DENNING
Suffix:JR
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:780 ROUTE 37 W STE 330
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-5064
Mailing Address - Country:US
Mailing Address - Phone:732-691-4898
Mailing Address - Fax:732-908-8950
Practice Address - Street 1:780 RTE 37 W STE 330
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5064
Practice Address - Country:US
Practice Address - Phone:732-691-4898
Practice Address - Fax:732-608-8950
Is Sole Proprietor?:No
Enumeration Date:2013-03-08
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR14810600246ZX2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0375896Medicaid