Individual provider · Type 1 NPI
Bansari Shah, B.D.S., M.D.S.
Periodontics · Aurora, IL
NPI number
1891328837
Active
Practice location
2124 Ogden Avenue, Suite 104
Aurora, IL 60504
Fax (630) 778-2070
Other practice locations
- 501 S Preston St Rm 312, Louisville, KY 40202-1701 · (502) 852-5100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 021.003210 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 10355 (KY) |
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.
3 other providers at this address
Other periodontics providers in Aurora
About NPI 1891328837
Bansari Shah, B.D.S., M.D.S.'s National Provider Identifier is 1891328837, issued on Feb 18, 2020. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Aurora, IL. The record was last updated on Dec 20, 2023.