Individual provider · Type 1 NPI
Khaled Y. Shabany, DMD, M.S.
Periodontics · Creve Coeur, MO
NPI number
1578638375
Active
Practice location
443 N New Ballas Rd Ste 244
Creve Coeur, MO 63141-6800
Fax (314) 755-1546
Mailing address
2049 Mckelvey Rd
Maryland Heights, MO 63043-2307
Other practice locations
- 160 S Bellwood Dr Ste C, East Alton, IL 62024-2086 · (618) 258-1244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 2002003037 (MO) |
| Periodontics | 1223P0300X | 021.001930 (IL) |
| Periodontics Primary | 1223P0300X | 2002003037 (MO) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
About NPI 1578638375
Khaled Y. Shabany, DMD, M.S.'s National Provider Identifier is 1578638375, issued on Nov 21, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Creve Coeur, MO. The record was last updated on Jan 20, 2023.