Individual
JAY A. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3363 BATTLEGROUND AVE, GREENSBORO, NC 27410-2401
(336) 933-1241
Mailing address
9 BRICKLIN CT, GREENSBORO, NC 27455-1558
(904) 887-9640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11257
NC
Other
Enumeration date
06/29/2012
Last updated
04/05/2022
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