SAMIR SHAH DDS INC NPI 1871091645

NPI Information

  • NPI: 1871091645
  • Provider Name: SAMIR SHAH DDS INC
  • Classification: Dentist - 1223P0106X
  • Specialization: Oral and Maxillofacial Pathology
  • Entity Type: Organization
  • Address: 469 W BASE LINE RD
    RIALTO, CA
    ZIP 92376
  • Phone: (909) 746-0444

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NPI Details

SAMIR SHAH DDS INC is an oral and maxillofacial pathology dentist in Rialto, CA. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. SAMIR SHAH DDS INC NPI is 1871091645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

469 W BASE LINE RD
RIALTO, CA
ZIP 92376-379
Phone: (909) 746-0444

The provider's authorized official is Samir Shah .
The authorized official title is Owner and has the following contact phone number (909) 746-0444.

The enumeration date for this NPI number is 1/26/2018 and was last updated on 1/26/2018.

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
11223P0106XDentistOral and Maxillofacial Pathology53272CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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