Provider Demographics
NPI:1437161320
Name:SHAHINIAN, VIRGINIA D (DMD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:D
Last Name:SHAHINIAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 ATLANTIC AVENUE
Mailing Address - Street 2:
Mailing Address - City:COHASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02025
Mailing Address - Country:US
Mailing Address - Phone:781-740-0100
Mailing Address - Fax:781-740-4590
Practice Address - Street 1:50 SOUTH STREET
Practice Address - Street 2:#201
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043
Practice Address - Country:US
Practice Address - Phone:781-740-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13643122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist