Provider Demographics
NPI:1982788584
Name:BOXWALLA, SHABBIR YAHYA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHABBIR
Middle Name:YAHYA
Last Name:BOXWALLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21212 KUYKENDAHL RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2605
Mailing Address - Country:US
Mailing Address - Phone:281-350-5600
Mailing Address - Fax:281-288-5384
Practice Address - Street 1:21212 KUYKENDAHL RD
Practice Address - Street 2:SUITE E
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2605
Practice Address - Country:US
Practice Address - Phone:281-350-5600
Practice Address - Fax:281-288-5384
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice