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Shore Oral Maxillo Surgery Group PA

Oral and Maxillofacial Surgery (Dentist) in Lakewood, NJ · enumerated 2009 · authorized official Richard Gaines, Ower.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619104015

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Registry record

Entity type Organization (Type 2)
Legal business name Shore Oral Maxillo Surgery Group PA
Practice address 301 Madison Ave, Lakewood, NJ, 08701
Phone (732) 367-4042
Fax (732) 905-9210
Enumeration date Jun 12, 2009
Last updated in NPPES Jun 12, 2009

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License DI09103 (NJ) Primary

Authorized official

Name Richard Gaines
Title Ower
Phone (732) 367-4042

Other identifiers

Identifier Type State Issuer
1642006 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Shore Oral Maxillo Surgery Group PA?
NPPES lists Richard Gaines (Ower) as the authorized official for this organization.
What is the NPI number for Shore Oral Maxillo Surgery Group PA?
The NPI for Shore Oral Maxillo Surgery Group PA is 1619104015, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-12.