Provider Demographics
NPI:1659533461
Name:OCEAN SHORE DENTAL ASSOCIATES PA
Entity Type:Organization
Organization Name:OCEAN SHORE DENTAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:NADEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:954-822-9222
Mailing Address - Street 1:17 BATTERY PL STE 205
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1151
Mailing Address - Country:US
Mailing Address - Phone:212-825-0943
Mailing Address - Fax:
Practice Address - Street 1:136 MIRACLE MILE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5406
Practice Address - Country:US
Practice Address - Phone:305-446-7414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN13380122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty