Provider Demographics
NPI:1043447170
Name:IRANI, SHIREEN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHIREEN
Middle Name:K
Last Name:IRANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PHIROJSHAH BLDG 4TH FLOOR 70-C GOWALIA TANK ROAD
Mailing Address - Street 2:
Mailing Address - City:MUMBAI
Mailing Address - State:MAHARASHTRA
Mailing Address - Zip Code:400036
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:715 W WHEATLAND RD
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4520
Practice Address - Country:US
Practice Address - Phone:888-890-0989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX232981223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics