Provider Demographics
NPI:1710178157
Name:CHU, SHELDON (DDS)
Entity type:Individual
Prefix:
First Name:SHELDON
Middle Name:
Last Name:CHU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 RANDOLPH RD STE 7
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1454
Mailing Address - Country:US
Mailing Address - Phone:732-823-9549
Mailing Address - Fax:
Practice Address - Street 1:1101 RANDOLPH RD STE 7
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1454
Practice Address - Country:US
Practice Address - Phone:732-823-9549
Practice Address - Fax:732-308-1143
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI028870001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice