Individual provider · Type 1 NPI
Brian S. Shah, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · St. Petersburg, FL
NPI number
1104867431
Active
Practice location
131 2nd Ave S
St. Petersburg, FL 33701-4382
Fax (727) 823-7284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 019.028191 (IL) |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 036.125106 (IL) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | ME139554 (FL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in St. Petersburg
- Mark Levinsky, DDSOral and Maxillofacial Surgery (Dentist) St. Petersburg, FL NPI 1053524462
- Mark Piper, DMD, MD, P.A.Oral and Maxillofacial Surgery (Dentist) St. Petersburg, FL NPI 1316992852
- Brian Mannari, DMD, M.S.Oral and Maxillofacial Surgery (Dentist) St. Petersburg, FL NPI 1588008726
- Andrew Lalli, DDSOral and Maxillofacial Surgery (Dentist) St. Petersburg, FL NPI 1609332931
- Thomas J. Boland, MDOral and Maxillofacial Surgery (Dentist) St. Petersburg, FL NPI 1679531867
About NPI 1104867431
Brian S. Shah, DDS, MD's National Provider Identifier is 1104867431, issued on Jun 9, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 5, 2025.