Organization · Type 2 NPI
Brian Shah, Dds, Md, PC
Oral and Maxillofacial Surgery (Dentist) · Chicago, IL
NPI number
1386070167
Active
Practice location
1009 W Webster Ave
Chicago, IL 60614-3502
Fax (872) 829-3281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019028191 (IL) |
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
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- Board of Trustees Fo the University of IllinoisOral and Maxillofacial Surgery (Dentist) Chicago, IL NPI 1326483991
- Gregory P Thomas, Dds, Md,p.c.Oral and Maxillofacial Surgery (Dentist) Chicago, IL NPI 1326716390
About NPI 1386070167
Brian Shah, Dds, Md, PC's National Provider Identifier is 1386070167, issued on Sep 24, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chicago, IL. The record was last updated on Sep 24, 2013.