Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
TOOTHTIMEDENTALSTUDIOPC
Active
Organization
TOOTHTIMEDENTALSTUDIOPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEJAL U SHAH DDS (PRESIDENT)
(515) 519-8080
Entity
Organization
Contact information
Practice address
414 JERICHO TPKE, SUIT #2, NEW HYDE PARK, NY 11040-4510
(516) 519-8080
(516) 519-8082
Mailing address
PO BOX 81, ALBERTSON, ALBERTSON, NY 11507-0081
(516) 519-8080
(516) 519-8082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02145619
—
NY
Enumeration date
01/17/2013
Last updated
01/17/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up