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SHAH DENTAL ASSOCIATES INC NPI 1710303326


NPI Information

NPI: 1710303326
Provider Name: SHAH DENTAL ASSOCIATES INC

Doing Business As: INNOVATIVE SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10929 SOUTH ST
STE 110B
CERRITOS, CA
ZIP 90703
Phone: (562) 860-6626
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SHAH DENTAL ASSOCIATES INC is a general practice dentist in Cerritos, CA. 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. SHAH DENTAL ASSOCIATES INC NPI is 1710303326. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Innovative Smiles.

The provider's business location address is:

10929 SOUTH ST
STE 110B
CERRITOS, CA
ZIP 90703-340
Phone: (562) 860-6626
Fax: (562) 860-6628

The provider's authorized official is Amit Shah .
The authorized official title is President and has the following contact phone number (562) 860-6626.

The enumeration date for this NPI number is 3/7/2014 and was last updated on 3/7/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice49805CALIFORNIAYes

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

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