Individual
JAY CHETAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18070 S TAMIAMI TRL # 101, FORT MYERS, FL 33908-4602
(239) 946-9216
Mailing address
2400 FEATHER SOUND DR APT 617, CLEARWATER, FL 33762-3091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30330
FL
Other
Enumeration date
06/04/2025
Last updated
07/06/2025
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