Active NPIIndividual provider

Dr. Samir A Shah, DMD, MS

Dentist, Periodontics in Egg Harbor Township, New Jersey

NPI Number1235380817
Practice location
3069 English Creek Ave, Ste 101, Egg Harbor Township, NJ 08234-9708
Fax
609-646-2758
Last updated
March 5, 2014

Samir Ashok Shah is a Dentist, Periodontics based in Egg Harbor Township, NJ. Samir Ashok Shah practices in Egg Harbor Township, NJ and has the professional credentials of DMD, MS. The NPI Number for Samir Ashok Shah is 1235380817 and holds a License No. 22DI02384600 (NJ). The current practice location address for Samir Ashok Shah is 3069 English Creek Ave, Ste 101, Egg Harbor Township, NJ 08234-9708 and can be reached out via phone at 609-646-8443 and via fax at 609-646-2758.

Provider Profile Details

NPI Number
1235380817
Provider Name
Samir Ashok Shah
Credential
DMD, MS
Provider Entity Type
Individual
Gender
Male
Address
3069 English Creek Ave, Ste 101, Egg Harbor Township, NJ 08234-9708
Phone Number
609-646-8443
Fax Number
609-646-2758
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2008
Last Update Date
March 5, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
3069 English Creek Ave
Ste 101
Egg Harbor Township, NJ 08234-9708
Zip
08234-9708
Phone Number
609-646-8443
Fax Number
609-646-2758
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
3069 English Creek Ave
Ste 101
Egg Harbor Township, NJ 08234-9708
City
Egg Harbor Township
State
NJ
Zip
08234-9708
Phone Number
609-646-8443
Fax Number
609-646-2758

License Information

License Number
22DI02384600
License State
NJ
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Dr. Samir A Shah, DMD, MS?

The NPI number of Dr. Samir A Shah, DMD, MS is 1235380817. It was assigned on October 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Samir A Shah, DMD, MS?

Dr. Samir A Shah, DMD, MS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number 22DI02384600.

Where does Dr. Samir A Shah, DMD, MS practice?

The practice location is 3069 English Creek Ave, Ste 101, Egg Harbor Township, NJ 08234-9708. The office can be reached at 609-646-8443 (phone) or 609-646-2758 (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 1235380817 directly on the NPPES registry website.

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