Individual provider · Type 1 NPI

Shailly Shah, DDS

Pediatric Dentistry · Frederick, MD

NPI number 1215670351 Active

Practice location

52 Thomas Johnson Dr
Frederick, MD 21702-4501

Mailing address

11300 Landy Ln
Great Falls, VA 22066-1569

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X13417 (CT)
Pediatric Dentistry Primary 1223P0221X18138 (MD)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

10 other providers at this address

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About NPI 1215670351

Shailly Shah, DDS's National Provider Identifier is 1215670351, issued on Apr 17, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Frederick, MD. The record was last updated on Jul 5, 2024.