Skip Navigation

Provider Information for 1508087339



EDWARD SHLUPER D.D.S.

Gender: MALE

Individual NPI: 1508087339

Calendar Last Updated: 2018-03-12

Details

Name Value
NPI 1508087339
Enumeration Date 2007-05-01
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 115 US HIGHWAY 46 STE E33
MOUNTAIN LAKES, NJ 07046-1659
United States

Phone: 973-743-5432 | Fax: 973-794-8613
View Map External Link
Primary Practice Address 115 US HIGHWAY 46 STE E33
MOUNTAIN LAKES, NJ 07046-1659
United States

Phone: 973-743-5432 | Fax: 973-794-8613
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NJ 19499
Other Identifiers
Issuer State Number