Provider Demographics
NPI:1790570745
Name:SHAH, MEET RAXITKUMAR (DMD)
Entity type:Individual
Prefix:
First Name:MEET
Middle Name:RAXITKUMAR
Last Name:SHAH
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1998 COUNTRY TRCE
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-1448
Mailing Address - Country:US
Mailing Address - Phone:848-226-5986
Mailing Address - Fax:
Practice Address - Street 1:60 2ND ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2050
Practice Address - Country:US
Practice Address - Phone:551-996-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program