Individual provider · Type 1 NPI
Rutu Shah
Pediatric Dentistry · Newburgh, NY
NPI number
1295377059
Active
Practice location
5 Hudson Valley Professional Plaza
Newburgh, NY 12550
Mailing address
138 Foltim Way
Congers, NY 10920-1424
Other practice locations
- 138 Foltim Way, Congers, NY 10920-1424 · (845) 270-3359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 061831 (NY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 061831 (NY) |
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.
Other pediatric dentistry providers in Newburgh
About NPI 1295377059
Rutu Shah's National Provider Identifier is 1295377059, issued on Oct 14, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Newburgh, NY. The record was last updated on Jan 24, 2022.