Provider Demographics
NPI:1255422721
Name:SHAH, SHILPA A (DDS)
Entity type:Individual
Prefix:DR
First Name:SHILPA
Middle Name:A
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 1:3 PARLIN DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-2263
Mailing Address - Country:US
Mailing Address - Phone:732-238-8151
Mailing Address - Fax:732-238-8979
Practice Address - Street 1:3 PARLIN DR
Practice Address - Street 2:SUITE H
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-2263
Practice Address - Country:US
Practice Address - Phone:732-238-8151
Practice Address - Fax:732-238-8979
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0195201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice