Shore Oral Maxillo Surgery Group PA
NPI 1619104015 · Oral and Maxillofacial Surgery (Dentist) · Lakewood, NJ
Shore Oral Maxillo Surgery Group PA is a Oral and Maxillofacial Surgery (Dentist) organization in Lakewood, NJ (NPI 1619104015).
Provider details
- NPI number
- 1619104015
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Richard Gaines, Ower(732) 367-4042
- License
- DI09103 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-12
- Last updated
- 2009-06-12
Frequently asked questions
- What is Shore Oral Maxillo Surgery Group PA's NPI number?
- Shore Oral Maxillo Surgery Group PA's National Provider Identifier (NPI) is 1619104015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shore Oral Maxillo Surgery Group PA?
- Shore Oral Maxillo Surgery Group PA is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Shore Oral Maxillo Surgery Group PA located?
- Shore Oral Maxillo Surgery Group PA's practice location on file with NPPES is 301 Madison Ave, Lakewood, NJ 08701-3266.
- What is Shore Oral Maxillo Surgery Group PA's phone number?
- The practice phone number listed in the NPPES registry for Shore Oral Maxillo Surgery Group PA is (732) 367-4042.
- Who is the authorized official for Shore Oral Maxillo Surgery Group PA?
- The authorized official listed on Shore Oral Maxillo Surgery Group PA's NPPES record is Richard Gaines, Ower. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shore Oral Maxillo Surgery Group PA's NPI active?
- Yes — Shore Oral Maxillo Surgery Group PA's NPI (1619104015) is active in the NPPES registry as of the last update on 2009-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.