Individual
SHREY SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3133 CENTRAL AVE STE 204, UNION CITY, NJ 07087-2447
(201) 330-3333
Mailing address
3609 DENISON ST, FREDERICK, MD 21704-7001
(301) 305-6341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
063303-01
NY
122300000X
Dentist
Primary
22DI02960400
NJ
122300000X
Dentist
22DI02960401
NJ
122300000X
Dentist
22DI02960402
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/07/2022
Last updated
12/03/2023
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