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NPI Code Detail

MEDICARE: DR. PARTH SHAH DMD

MEDICARE: DR. PARTH SHAH DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist25256FL

General Provider Information

NPI Number : 1780292185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PARTH SHAH DMD
Provider Business Mailing Address
First Line : 1750 TAMIAMI TRL STE 100
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33948-1045
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1750 TAMIAMI TRL STE 100
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33948-1045
Country : US
Telephone Number : 941-235-1001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2020
Last Update Date : 09/04/2020

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Directions to “ DR. PARTH SHAH DMD” Practice Location

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