Organization · Type 2 NPI

Jesal Shah, Dmd, P.c.

Oral and Maxillofacial Surgery (Dentist) · Brooklyn, NY

NPI number 1366985491 Active

Practice location

4609 5th Ave, 2nd Floor
Brooklyn, NY 11220-1207

Call (718) 854-3191 Map

Fax (718) 909-1635

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X052986 (NY)

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.

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About NPI 1366985491

Jesal Shah, Dmd, P.c.'s National Provider Identifier is 1366985491, issued on Nov 21, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 21, 2016.