Dr. Gaurav P Shah, DMD
Dentist, General Practice in Blackwood, New Jersey
1366938656- Practice location
- 5650 Route 42, Blackwood, NJ 08012-1045
- Phone
- 856-302-7026
- Fax
- —
- Last updated
- October 30, 2023
Gaurav P. Shah is a Dentist, General Practice based in Blackwood, NJ. Gaurav P. Shah practices in Blackwood, NJ and has the professional credentials of DMD. The NPI Number for Gaurav P. Shah is 1366938656 and holds a License No. 22DR03244 (NJ). The current practice location address for Gaurav P. Shah is 5650 Route 42, Blackwood, NJ 08012-1045 and can be reached out via phone at 856-302-7026.
Provider Profile Details
- NPI Number
- 1366938656
- Provider Name
- Gaurav P. Shah
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5650 Route 42, Blackwood, NJ 08012-1045
- Phone Number
- 856-302-7026
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 10, 2018
- Last Update Date
- October 30, 2023
- Certification Date
- October 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5650 Route 42
Blackwood, NJ 08012-1045 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-1045
- Phone Number
- 856-302-7026
Provider Business Mailing Address Details
- Address
- 50 Liberty Dr
Dayton, NJ 08810-1614 - City
- Dayton
- State
- NJ
- Zip
- 08810-1614
- Phone Number
- 732-763-6010
License Information
- License Number
- 22DR03244
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Gaurav P Shah, DMD?
The NPI number of Dr. Gaurav P Shah, DMD is 1366938656. It was assigned on July 10, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Gaurav P Shah, DMD?
Dr. Gaurav P Shah, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DR03244.
Where does Dr. Gaurav P Shah, DMD practice?
The practice location is 5650 Route 42, Blackwood, NJ 08012-1045. The office can be reached at 856-302-7026 (phone).
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 1366938656 directly on the NPPES registry website.