Individual provider · Type 1 NPI

Deval Shah, DDS

Oral and Maxillofacial Surgery (Dentist) · Burr Ridge, IL

NPI number 1407911233 Active

Practice location

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Call (773) 834-4064 Map

Mailing address

5841 S Maryland Ave # MC1099
Chicago, IL 60637-1447

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X019025948 (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.

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About NPI 1407911233

Deval Shah, DDS's National Provider Identifier is 1407911233, issued on Dec 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Burr Ridge, IL. The record was last updated on Jul 8, 2007.