Provider Demographics
NPI:1528197225
Name:SHAH, ARATI MOONI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARATI
Middle Name:MOONI
Last Name:SHAH
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 1:201 SAINT JOSEPH CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-3403
Mailing Address - Country:US
Mailing Address - Phone:737-216-7731
Mailing Address - Fax:
Practice Address - Street 1:201 SAINT JOSEPH CT
Practice Address - Street 2:
Practice Address - City:LIBERTY HILL
Practice Address - State:TX
Practice Address - Zip Code:78642-3403
Practice Address - Country:US
Practice Address - Phone:737-216-7731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX372501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice