# SHIVM SHAH, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emerald Dental Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992698641
- **Authorized official:** SHIVM SHAH DDS (PRINCIPAL DENTIST)
- **Authorized official phone:** (908) 451-8209

## Contact information

- **Practice address:** 397 CHESTNUT ST STE 1, UNION, NJ 07083-9419
- **Practice address phone:** (862) 347-3239
- **Mailing address:** 17 BERTRAN DR, BRIDGEWATER, NJ 08807-5609
- **Mailing address phone:** (908) 451-8209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2025
- **Last updated:** 06/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1144809278 | NPI | — |