DR. GREGORY M. SHUPIK (NPI# 1740322296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740322296 |
Entity Type | Individual |
Full Name | DR. GREGORY M. SHUPIK |
Credential | D.M.D. |
Practice Address |
1910 Marlton Pike E Suite 2 Cherry Hill NJ 08003-2123 |
Practice Telephone | 8564284746 |
Practice Fax Number | 8567513975 |
Mailing Telephone | 8564284746 |
Mailing Fax Number | 8567513975 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
22DI00971800 | NJ | Dental Providers |
Street Address |
1910 MARLTON PIKE E SUITE 2 |
City | CHERRY HILL |
State | NJ |
Zip Code | 08003-2123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447350459 | Kurt Bomze | Dentist | 1910 Marlton Pike E, Suite 9, Cherry Hill, NJ 08003-2123 | 2006-09-22 |
1134644255 | Betsy Feinberg | Psychologist | 1910 Marlton Pike E, Cherry Hill, NJ 08003-2123 | 2017-08-09 |
1255861191 | Jacquelyn Sarah Gola | Psychologist | 1910 Marlton Pike E, Cherry Hill, NJ 08003-2123 | 2017-06-14 |
1710352588 | Theresa Schmitz | Psychologist | 1910 Marlton Pike E, Cherry Hill, NJ 08003-2123 | 2015-12-04 |
1053513853 | Herbert L. Cohen | Dentist | 1910 Marlton Pike E, Ste.8, Cherry Hill, NJ 08003-2123 | 2007-06-04 |
1053538116 | Gregory M. Shupik, D.m.d., P.a. | Dentist | 1910 Marlton Pike E, Suite 2, Cherry Hill, NJ 08003-2123 | 2007-04-19 |
1811015654 | Gerald Jacobson | Dentist | 1910 Marlton Pike E, Suite 1, Cherry Hill, NJ 08003-2123 | 2007-03-27 |
1790854784 | Paul Barton Cohen | Dentist | 1910 Marlton Pike E, Suite 4, Cherry Hill, NJ 08003-2123 | 2006-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
Find all providers in zip 08003 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
1043457401 | Shahin Kazemi | Dentist | 1416 Brace Rd, Cherry Hill, NJ 08034 | 2009-01-07 |
1962649327 | Michael D Yasner | Dentist | 1416 Brace Rd., Cherry Hill, NJ 08034 | 2009-01-07 |
1326257726 | Fredrick Joesph Tisot | Dentist | 820 Kings Hwy S, Cherry Hill, NJ 08034-2520 | 2007-05-22 |
1902962632 | Perio Care Spa, PC | Dentist | 1050 Kings Hwy N Ste 104, Cherry Hill, NJ 08034-1909 | 2006-12-28 |
1700941028 | Dr Sullivan Dr Yasner Dr Kazemi LLC | Dentist | 1416 Brace Road, Cherry Hill, NJ 08034-3523 | 2006-12-27 |
1205914322 | Ira L Eisenstein | Dentist | 1050 N Kings Hwy, Ste 104, Cherry Hill, NJ 08034 | 2006-11-02 |
1366466104 | Robert M. Benedon | Dentist | 1878 Marlton Pike E Ste 3, Cherry Hill, NJ 08003-2090 | 2006-07-26 |
1871920827 | Precision Periodontics, LLC | Dentist | 1765 Springdale Rd, Suite C-1, Cherry Hill, NJ 08003-2177 | 2013-10-07 |
1235576182 | Atlas Dental Specialty Associates LLC | Dentist | 63 Kresson Rd, Suite 102, Cherry Hill, NJ 08034-3200 | 2013-06-03 |
Find all providers in CHERRY HILL |
City | CHERRY HILL |
Zip Code | 08003 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.