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

DR. DEEP I. SHAH, DMD

Active Sole Proprietor

DR. DEEP I. SHAH, DMD is a Pediatric Dentistry healthcare provider located in PITTSTON, Pennsylvania. NPI 1679968465 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PITTSTON, PA

Registration Details

NPI Number
1679968465
Provider Type
Individual
Gender
Male
NPI Issued
Mar 30, 2015 (11.193588725334 yrs)
Last Updated
Jan 28, 2016
Licenses
DS040290 (PA)
DS040290 (PA)
Sole Proprietor
Yes

Practice Information

Address
1073 OAK ST
PITTSTON, PA, 186403716
Browse PA providers · Browse ZIP 18640
Phone
5706544141
Fax
5706542150
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in PITTSTON, PA

Name Credential NPI
ANTHONY D KUPRIONAS DDS 1275685315
CHRISTINA AMATO 1366935918
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.