Jimmy Shak is a Old Bridge, New Jersey based Dentist who is specialized in
Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jimmy Shak is
22DI02796200 for Pediatric Dentistry in New Jersey. His current practice location is
2455 Route 516 Fl 1, Old Bridge. Patients can reach him at
646-203-6960.
Jimmy Shak is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jimmy Shak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jimmy Shak |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2455 Route 516 Fl 1, Old Bridge, New Jersey, 08857-1892 |
| Phone: | 646-203-6960 |
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 are as mentioned below.
| NPI Number: | 1285132530 |
| NPI Enumeration Date: | 31 Jan, 2018 |
| NPI Last Update On: | 17 May, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jimmy Shak are as mentioned below.
| License Number | Specialization | State | Status | |
| 22DI02796200 | Pediatric Dentistry | New Jersey | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8 Floral Terrace, Tenafly, New Jersey |
| Zip: | 07670 |
| Phone Number: | 646-203-6960 |
Patients can reach Jimmy Shak at
2455 Route 516 Fl 1, Old Bridge, New Jersey or can
call to book an appointment on 646-203-6960.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.