Individual
DR. HITESHKUMAR J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
61 EDGEBROOK CT, CHAPEL HILL, NC 27517-8253
(201) 320-1208
Mailing address
61 EDGEBROOK CT, CHAPEL HILL, NC 27517-8253
(201) 320-1208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08839
NC
1223G0001X
General Practice Dentistry
DI18862
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08839
DENTIST LICENSE
NC
05
—
6150101
—
NJ
01
—
DI18862
LICENCE NUMBER NEWJERSEY
NJ
Enumeration date
10/24/2006
Last updated
10/09/2024
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