Healthcare Provider Details

I. General information

NPI: 1346412111
Provider Name (Legal Business Name): MARVIN J. SHER DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 WHITE ST
SHREWSBURY NJ
07702-4477
US

IV. Provider business mailing address

23 WHITE ST
SHREWSBURY NJ
07702-4477
US

V. Phone/Fax

Practice location:
  • Phone: 732-747-7730
  • Fax: 732-747-7976
Mailing address:
  • Phone: 732-747-7730
  • Fax: 732-747-7976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARVIN JEFFREY SHER
Title or Position: PRESIDENT
Credential: D.M.D.
Phone: 732-747-7730