Active NPIIndividual provider

Khantil R Shah, DMD

Dentist, General Practice in Pascoag, Rhode Island

NPI Number1194134601
Practice location
36 Bridge Way, Pascoag, RI 02859-3131
Fax
401-568-0582
Last updated
July 17, 2015

Khantil R Shah is a Dentist, General Practice based in Pascoag, RI. Khantil R Shah practices in Pascoag, RI and has the professional credentials of DMD. The NPI Number for Khantil R Shah is 1194134601 and holds a License No. 04079 (NH). The current practice location address for Khantil R Shah is 36 Bridge Way, Pascoag, RI 02859-3131 and can be reached out via phone at 401-567-0800 and via fax at 401-568-0582.

Provider Profile Details

NPI Number
1194134601
Provider Name
Khantil R Shah
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
36 Bridge Way, Pascoag, RI 02859-3131
Phone Number
401-567-0800
Fax Number
401-568-0582
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2014
Last Update Date
July 17, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Bridge Way
Pascoag, RI 02859-3131
Zip
02859-3131
Phone Number
401-567-0800
Fax Number
401-568-0582
Pascoag, RI 02859Get directions →

Provider Business Mailing Address Details

Address
Po Box 312
Pascoag, RI 02859-0312
City
Pascoag
State
RI
Zip
02859-0312
Phone Number
401-567-0800
Fax Number
401-567-0900

License Information

License Number
04079
License State
NH
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, General Practice providers near Pascoag, RI

View all Dentist, General Practice providers in Pascoag →

Frequently Asked Questions

What is the NPI number of Khantil R Shah, DMD?

The NPI number of Khantil R Shah, DMD is 1194134601. It was assigned on August 8, 2014 and is currently active in the NPPES registry.

What is the specialty of Khantil R Shah, DMD?

Khantil R Shah, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NH under license number 04079.

Where does Khantil R Shah, DMD practice?

The practice location is 36 Bridge Way, Pascoag, RI 02859-3131. The office can be reached at 401-567-0800 (phone) or 401-568-0582 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194134601 directly on the NPPES registry website.

Browse related providers