Healthcare Provider Details

I. General information

NPI: 1700090842
Provider Name (Legal Business Name): QUALITY DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 MONMOUTH RD
WRIGHTSTOWN NJ
08562
US

IV. Provider business mailing address

561 MONMOUTH RD
WRIGHTSTOWN NJ
08562
US

V. Phone/Fax

Practice location:
  • Phone: 609-758-2244
  • Fax: 609-758-6773
Mailing address:
  • Phone: 609-758-2244
  • Fax: 609-758-6773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD117047
License Number StateNJ

VIII. Authorized Official

Name: DR. DARIUS P OSHIDAR
Title or Position: OWNER
Credential: DMD
Phone: 609-758-2244