Provider Demographics
NPI:1164676425
Name:SHATS, NAUM R (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAUM
Middle Name:R
Last Name:SHATS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6821 REISTERSTOWN RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-1482
Mailing Address - Country:US
Mailing Address - Phone:410-764-6998
Mailing Address - Fax:410-764-6253
Practice Address - Street 1:6821 REISTERSTOWN RD STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-1482
Practice Address - Country:US
Practice Address - Phone:410-764-6998
Practice Address - Fax:410-764-6253
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD118491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice