Individual provider · Type 1 NPI

Deep I. Shah, DMD

Pediatric Dentistry · Pittston, PA

NPI number 1679968465 Active

Practice location

1073 Oak St
Pittston, PA 18640-3716

Fax (570) 654-2150

Mailing address

625 Cornfield Way, Apt. 201
Dallas, PA 18612-7215

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDS040290 (PA)
Pediatric Dentistry Primary 1223P0221XDS040290 (PA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6 other providers at this address

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About NPI 1679968465

Deep I. Shah, DMD's National Provider Identifier is 1679968465, issued on Mar 30, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Pittston, PA. The record was last updated on Jan 28, 2016.