Provider Demographics
NPI:1326267246
Name:SHREWSBURY DENTAL ASSOCIATES,PA
Entity Type:Organization
Organization Name:SHREWSBURY DENTAL ASSOCIATES,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HERBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-747-9333
Mailing Address - Street 1:555 SHREWSBURY AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4178
Mailing Address - Country:US
Mailing Address - Phone:732-747-9333
Mailing Address - Fax:
Practice Address - Street 1:555 SHREWSBURY AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4178
Practice Address - Country:US
Practice Address - Phone:732-747-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ139101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty