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Shah Dental Clinic,llc
General Practice Dentistry in Centralia, Illinois
NPI 1669614145

Shah Dental Clinic,llc is a General Practice Dentistry based in Centralia, IL and is specialized in General Practice. Shah Dental Clinic,llc practices in Centralia, IL. The NPI Number for Shah Dental Clinic,llc is 1669614145 and holds a License No. 019027170 (Illinois).

The current practice location address for Shah Dental Clinic,llc is 135 S Sycamore St, Centralia, IL and can be reached out via phone at 618-532-1411 and via fax at 618-532-1496.

Location: 135 S Sycamore St, Centralia, IL, 62801-3525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669614145
Provider Name
Shah Dental Clinic,llc
Credential
Provider Entity Type
Organization
Address
135 S Sycamore St, Centralia, IL, 62801-3525
Phone Number
618-532-1411
Fax Number
618-532-1496
Provider Enumeration Date
03/31/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
135 S Sycamore St
City
Centralia
State
Illinois
Zip
62801-3525
Phone Number
618-532-1411
Fax Number
618-532-1496
person
Provider Business Mailing Address Details
Address
135 S Sycamore St
City
Centralia
State
Illinois
Zip
62801-3525
Phone Number
618-532-1411
Fax Number
618-532-1496
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019027170 (Illinois)
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.
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