Shore Oral Maxillo Surgery Group Pa
Oral and Maxillofacial Dental Clinic
301 Madison Ave, Lakewood
New Jersey, 08701-3266
732-367-4042 732-905-9210
Maps & DirectionsShore Oral Maxillo Surgery Group Pa is a Oral and Maxillofacial Dental Clinic in Lakewood, New Jersey. It is located at 301 Madison Ave, Lakewood, NJ and its contact number is 732-367-4042. The authorized person for Shore Oral Maxillo Surgery Group Pa is Dr. Richard L Gaines
who is Ower of the clinic and their contact number is 732-367-4042. Other organizations associated with this clinic are Ira Kreitman,dds,pa, Joseph Polinsky Dmd Llc, Shore Oral Maxillo Surgery Group Pa, The primary license number for Shore Oral Maxillo Surgery Group Pa is DI09103 (Oral and Maxillofacial Surgery) in New Jersey.
Shore Oral Maxillo Surgery Group Pa Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Shore Oral Maxillo Surgery Group Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Shore Oral Maxillo Surgery Group Pa |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 301 Madison Ave, Lakewood,
New Jersey, 08701-3266 |
| Phone: | 732-367-4042 |
| Fax: | 732-905-9210 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Richard L Gaines |
| Position: | Ower |
| Contact Number: | 732-367-4042 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shore Oral Maxillo Surgery Group Pa clinic are as mentioned below.
| NPI Number: | 1619104015 |
| NPI Enumeration Date: | 12 Jun, 2009 |
| NPI Last Update On: | 12 Jun, 2009 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Ira Kreitman,dds,pa | Orthodontics and Dentofacial Orthopedics | 1205853942 |
| Joseph Polinsky Dmd Llc | General Practice Dentistry | 1518177377 |
| Shore Oral Maxillo Surgery Group Pa | Oral and Maxillofacial Surgery | 1619104015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shore Oral Maxillo Surgery Group Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | DI09103 | New Jersey | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1642006 | Medicaid | New Jersey | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shore Oral Maxillo Surgery Group Pa
301 Madison Ave,
Lakewood, New Jersey |
| Zip: | 08701-3266 |
| Phone Number: | 732-367-4042 |
| Fax Number: | 732-905-9210 |
Patients can reach Shore Oral Maxillo Surgery Group Pa at
301 Madison Ave, Lakewood, New Jersey or can
call to book an appointment on 732-367-4042.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.