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NPI Code Detail

MEDICARE: DR. VISHRUTI SHAH DMD

MEDICARE:  DR. VISHRUTI  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
11223G0001XGeneral Practice Dentistry22DI02262000NJ

General Provider Information

NPI Number : 1942407945
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VISHRUTI SHAH DMD
Provider Business Mailing Address
First Line : 29 BATTLE RIDGE RD
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-3419
Country : US
Telephone Number : 973-538-1774
Fax Number :
Provider Business Practice Location Address
First Line : 29 BATTLE RIDGE RD
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-3419
Country : US
Telephone Number : 973-538-1774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2007
Last Update Date : 01/03/2016

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Directions to “ DR. VISHRUTI SHAH DMD” Practice Location

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