SHAY BRANNAN MUSHET DDS NPI 1174517486

NPI Information

NPI: 1174517486
Provider Name: SHAY BRANNAN MUSHET, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
7930 FROST ST
STE 101
SAN DIEGO, CA
ZIP 92123
Phone: (858) 492-9977
Get Directions

Shay Brannan Mushet, DDS is a pediatric dentistry dentist in San Diego, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Shay Brannan Mushet, DDS NPI is 1174517486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7930 FROST ST
STE 101
SAN DIEGO, CA
ZIP 92123-737
Phone: (858) 492-9977
Fax: (858) 492-9910

The enumeration date for this NPI number is 9/1/2005 and was last updated on 9/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	53053	CALIFORNIA	No
2	1223G0001X	Dentist	General Practice	009476	CONNECTICUT	No
3	1223P0221X	Dentist	Pediatric Dentistry	53053	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	002094762	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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