# DR. HITESHKUMAR J SHAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255415469
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 08839 | NC | Yes |
| 1223G0001X | General Practice Dentistry | DI18862 | NJ | — |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 10/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08839 | DENTIST LICENSE | NC |
| 05 | — | 6150101 | — | NJ |
| 01 | — | DI18862 | LICENCE NUMBER NEWJERSEY | NJ |