Provider Demographics
NPI:1245320423
Name:JAY SHER DDS, LLC
Entity type:Organization
Organization Name:JAY SHER DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-992-4770
Mailing Address - Street 1:154 S LIVINGSTON AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3017
Mailing Address - Country:US
Mailing Address - Phone:973-992-4770
Mailing Address - Fax:973-992-0271
Practice Address - Street 1:154 S LIVINGSTON AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3017
Practice Address - Country:US
Practice Address - Phone:973-992-4770
Practice Address - Fax:973-992-0271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ116791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty