Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHADY SHAABAN
Active Sole ProprietorSHADY SHAABAN is a General Dentistry healthcare provider located in GARDEN GROVE, California. NPI 1770572877 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GARDEN GROVE, CA
Registration Details
- NPI Number
- 1770572877
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2005 (20.635685741405 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
D12148 (MN)56794 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12752 GARDEN GROVE BLVD STE 200GARDEN GROVE, CA, 928431924Browse CA providers · Browse ZIP 92843
- Phone
- 7146362595
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in GARDEN GROVE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN PHU VAN | D.D.S. | 1801881743 |
| DR. SUZANNE ELIZABETH NGUYEN | DDS | 1376515916 |
| DR. ANH THU TRAM | D.D.S. | 1225080641 |
| DR. YOUNGJOON KIM | DDS | 1972512838 |
| DR. JOHN S. LIN | DMD | 1679584270 |
| DR. TRI NGUYEN | DDS | 1730299710 |
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.