# SHABNAM AMIN

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

## Provider details

- **NPI number:** 1306176276
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2009028339 | MO | — |
| 1223G0001X | General Practice Dentistry | 60756 | KS | Yes |

## Other

- **Enumeration date:** 12/28/2009
- **Last updated:** 03/26/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200632870A | — | KS |
| 05 | — | 200632870B | — | KS |
| 05 | — | 200632870C | — | KS |
| 01 | — | 2143200 | UNITED CONCORDIA | KS |