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

DR. SCOTT WILLIAM SHALLISH, D.M.D.

Active

DR. SCOTT WILLIAM SHALLISH, D.M.D. is a Dentist healthcare provider located in SYRACUSE, New York. NPI 1780812123 is currently active in the NPPES registry. Verify at CMS.

Dentist · SYRACUSE, NY

Registration Details

NPI Number
1780812123
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2009 (17.146450254829 yrs)
Last Updated
Jan 4, 2012
License
055055 (NY)

Practice Information

Address
3930 E GENESEE ST
SYRACUSE, NY, 132141934
Browse NY providers · Browse ZIP 13214
Phone
3154716188
Fax
3154710271
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SYRACUSE, NY

Name Credential NPI
DR. JANICE KATHRYN PLISZCZAK DDS 1528065497
DAVID R DASHER DDS 1497729784
BHARATHI SHIVANAND DDS 1548222631
FILOFTEIA BADILA DDS 1023070133
DR. IMADEH RITA NOSEGBE DMD 1902860208
DR. KRISHNA KURUP DMD 1447214457
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.