Healthcare Provider Details

I. General information

NPI: 1851552269
Provider Name (Legal Business Name): DARIUS P OSHIDAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2008
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 MONMOUTH RD
WRIGHTSTOWN NJ
08562-2125
US

IV. Provider business mailing address

561 MONMOUTH RD
WRIGHTSTOWN NJ
08562-2125
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number17047
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: