Individual provider · Type 1 NPI

Jesal Virendra Shah, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · New York, NY

NPI number 1467604363 Active

Practice location

3915 Broadway
New York, NY 10032-1565

Call (212) 567-5536 Map

Fax (212) 202-6447

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X052986 (NY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X052986-1 (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 1467604363

Jesal Virendra Shah, DMD, MD's National Provider Identifier is 1467604363, issued on Oct 22, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in New York, NY. The record was last updated on Dec 13, 2013.