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Dr. Bansari Shah, BDS,MDS
Student in an Organized Health Care Education/Training Program in Aurora, Illinois
NPI 1891328837

Bansari Shah is a Student in an Organized Health Care Education/Training Program based in Aurora, IL. Bansari Shah practices in Aurora, IL and has the professional credentials of BDS,MDS. The NPI Number for Bansari Shah is 1891328837 and holds a License No. 021.003210 (Illinois).

The current practice location address for Bansari Shah is 2124 Ogden Avenue, Aurora, IL and can be reached out via phone at 630-585-6100 and via fax at 630-778-2070.

Location: 2124 Ogden Avenue, Aurora, IL, 60504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891328837
Provider Name
Bansari Shah
Credential
BDS,MDS
Provider Entity Type
Individual
Gender
Female
Address
2124 Ogden Avenue, Aurora, IL, 60504
Phone Number
630-585-6100
Fax Number
630-778-2070
Provider Enumeration Date
02/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2124 Ogden Avenue
City
Aurora
State
Illinois
Zip
60504
Phone Number
630-585-6100
Fax Number
630-778-2070
person
Provider Business Mailing Address Details
Address
2124 Ogden Avenue
City
Aurora
State
Illinois
Zip
60504
Phone Number
630-585-6100
Fax Number
630-778-2070
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
10355 (Kentucky)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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.
021.003210 (Illinois)
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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