Organization
SHIVM SHAH, PC
Active
Other names
Emerald Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVM SHAH DDS (PRINCIPAL DENTIST)
(908) 451-8209
Entity
Organization
Contact information
Practice address
397 CHESTNUT ST STE 1, UNION, NJ 07083-9419
(862) 347-3239
Mailing address
17 BERTRAN DR, BRIDGEWATER, NJ 08807-5609
(908) 451-8209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144809278
NPI
—
Enumeration date
06/02/2025
Last updated
06/08/2025
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