KINNAR R SHAH DMD PA NPI 1457032807

NPI Information

NPI: 1457032807
Provider Name: KINNAR R SHAH DMD PA
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 121 WATERMAN AVE
MOUNT DORA, FL
ZIP 32757
Phone: (352) 735-0738

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NPI Details

KINNAR R SHAH DMD PA is a general practice dentist in Mount Dora, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KINNAR R SHAH DMD PA NPI is 1457032807. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 WATERMAN AVE
MOUNT DORA, FL
ZIP 32757-541
Phone: (352) 735-0738

The provider's authorized official is Kinnar Rameshchandra Shah .
The authorized official title is President, Owner and has the following contact phone number (215) 385-1003.

The enumeration date for this NPI number is 7/28/2023 and was last updated on 7/28/2023.

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			Yes

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: 11/21/2025

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