MEDICARE: MOHAMMED SHAHABUDDIN DENTAL P.C.

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
1	122300000X	Dentist	042617	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982880159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOHAMMED SHAHABUDDIN DENTAL P.C.

Provider Business Mailing Address
First Line	:	3004 36TH AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11106-2315
Country	:	US
Telephone Number	:	718-361-8677
Fax Number	:	718-361-0278

Provider Business Practice Location Address
First Line	:	3004 36TH AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11106-2315
Country	:	US
Telephone Number	:	718-361-8677
Fax Number	:	718-361-0278

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MOHAMMED SHAHABUDDIN
Credential	:	D.D.S.
Telephone Number	:	718-361-8677

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	04/26/2012

Similar Medicare Providers

1245229210 — DR. MOHAMMED SHAHABUDDIN D.D.S
Practice Location Address:

3004 36TH AVE
LONG ISLAND CITY, NY
11106-2315

Practice Phone: 718-361-8677
Practice Fax: 718-361-0278

1639194459 — M. AND S. DRUGS, INC
Practice Location Address:

3012 36TH AVE
LONG ISLAND CITY, NY
11106-2315

Practice Phone: 718-392-8049
Practice Fax: 718-729-0165

1326296302 — MR. SHAHAB AHMED M.PHARM
Practice Location Address:

3012 36TH AVE
LONG ISLAND CITY, NY
11106-2315

Practice Phone: 718-392-8049
Practice Fax: 718-729-0165

1851070890 — LIC SKYLINE MEDICINE PC
Practice Location Address:

2315 44TH DR OFC
LONG ISLAND CITY, NY
11101-8900

Practice Phone: 973-910-8288
Practice Fax:

1740969799 — LIC SKYLINE ACUPUNCTURE PC
Practice Location Address:

2315 44TH DR OFC
LONG ISLAND CITY, NY
11101-8900

Practice Phone: 973-910-8288
Practice Fax:

1043160138 — AMANDA SUN MS RDN CDN LD
Practice Location Address:

2315 44TH RD APT 9L
LONG ISLAND CITY, NY
11101-8509

Practice Phone: 917-318-1776
Practice Fax:

Directions to “MOHAMMED SHAHABUDDIN DENTAL P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.