Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN S SHAH, DDS, MD

Active

BRIAN S SHAH, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in ST. PETERSBURG, Florida. NPI 1104867431 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · ST. PETERSBURG, FL

Registration Details

NPI Number: 1104867431
Provider Type: Individual
Gender: Male
NPI Issued: Jun 9, 2006 (20.138498715576 yrs)
Last Updated: Jun 5, 2025
Licenses: 019.028191 (IL)

036.125106 (IL)

ME139554 (FL)

Practice Information

Address: 131 2ND AVE S

ST. PETERSBURG, FL, 337014382
Browse FL providers · Browse ZIP 33701
Phone: 7278233220
Fax: 7278237284
Primary Specialty: Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty: Oral & Maxillofacial Surgery (Physician)
Additional Specialty: Oral & Maxillofacial Surgery

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.