Individual provider · Type 1 NPI
Amie Shah
Pediatric Dentistry · Holbrook, NY
NPI number
1912323098
Active
Practice location
315 Main St Ste 315-I
Holbrook, NY 11741-1524
Mailing address
140 Addis Dr
Churchville, PA 18966-1170
Other practice locations
- 390 Amwell Rd Bldg 2, Hillsborough, NJ 08844-1225 · (267) 210-1847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 058278 (NY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 058278 (NY) |
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.
Another provider at this address
Other pediatric dentistry providers in Holbrook
About NPI 1912323098
Amie Shah's National Provider Identifier is 1912323098, issued on Mar 12, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Holbrook, NY. The record was last updated on Mar 17, 2018.