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Ravi Gaurang Shah, DMD
General Practice Dentistry in Colonia, New Jersey
NPI 1609339555

Ravi Gaurang Shah is a General Practice Dentistry based in Colonia, NJ and is specialized in General Practice. Ravi Gaurang Shah practices in Colonia, NJ and has the professional credentials of DMD. The NPI Number for Ravi Gaurang Shah is 1609339555 and holds a License No. (New Jersey).

The current practice location address for Ravi Gaurang Shah is 171 Lake Ave, Colonia, NJ and can be reached out via phone at 732-318-9820.

Location: 171 Lake Ave, Colonia, NJ, 07067-1354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609339555
Provider Name
Ravi Gaurang Shah
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
171 Lake Ave, Colonia, NJ, 07067-1354
Phone Number
732-318-9820
Fax Number
Provider Enumeration Date
04/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
171 Lake Ave
City
Colonia
State
New Jersey
Zip
07067-1354
Phone Number
732-318-9820
Fax Number
person
Provider Business Mailing Address Details
Address
171 Lake Ave
City
Colonia
State
New Jersey
Zip
07067-1354
Phone Number
732-318-9820
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DI02759500 (New Jersey)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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