Provider Demographics
NPI:1568240240
Name:NAUM SHATS FAMILY DENTAL CARE P.A
Entity Type:Organization
Organization Name:NAUM SHATS FAMILY DENTAL CARE P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAUM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHATS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-458-9129
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty