Individual provider · Type 1 NPI

Shabnam Mohammed Charlie, DDS

Oral and Maxillofacial Radiology Dentistry · Dallas, TX

NPI number 1811832579 Active

Practice location

3302 Gaston Ave
Dallas, TX 75246-2013

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Radiology Dentistry Primary 1223X0008X390200000X (TX)

Oral and Maxillofacial Radiology Dentistry: The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.

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About NPI 1811832579

Shabnam Mohammed Charlie, DDS's National Provider Identifier is 1811832579, issued on Apr 21, 2026. The primary taxonomy on file is Oral and Maxillofacial Radiology Dentistry (1223X0008X), and the practice location is in Dallas, TX. The record was last updated on Apr 21, 2026.