Healthcare Provider Details

I. General information

NPI: 1083528285
Provider Name (Legal Business Name): SHIR BIO DENTISTRY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 N BEDFORD DR STE 105
BEVERLY HILLS CA
90210-4308
US

IV. Provider business mailing address

416 N BEDFORD DR STE 105
BEVERLY HILLS CA
90210-4308
US

V. Phone/Fax

Practice location:
  • Phone: 310-274-7005
  • Fax: 310-274-6443
Mailing address:
  • Phone: 310-274-7005
  • Fax: 310-274-6443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. NUSHIN SHIR
Title or Position: OWNER
Credential: DDS
Phone: 310-274-7005