Provider Demographics
NPI:1821194101
Name:SHUMAN, STEPHANIE SHUMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:SHUMAN
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 HIGHWAY 34
Mailing Address - Street 2:SUITE B
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747
Mailing Address - Country:US
Mailing Address - Phone:732-566-6060
Mailing Address - Fax:732-566-8663
Practice Address - Street 1:1070 HIGHWAY 34
Practice Address - Street 2:SUITE B
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747
Practice Address - Country:US
Practice Address - Phone:732-566-6060
Practice Address - Fax:732-566-8663
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22D1016024001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice