Provider Demographics
NPI:1881784999
Name:SHAH, SHWETA (DDS)
Entity type:Individual
Prefix:DR
First Name:SHWETA
Middle Name:
Last Name:SHAH
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 ALLWOOD RD STE 107
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1946
Mailing Address - Country:US
Mailing Address - Phone:973-777-5353
Mailing Address - Fax:973-777-4948
Practice Address - Street 1:905 ALLWOOD RD STE 107
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1946
Practice Address - Country:US
Practice Address - Phone:973-777-5353
Practice Address - Fax:973-777-4948
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD21821001223P0700X
NJ22DI021821001223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics