Shah, Deep I.
Shah, Deep I. is an sole proprietor health care provider with primary practice located at 1073 Oak St , Pittston PA 18640-3716. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Shah, Deep I. can be contacted via phone (570) 654-4141.Contact Information
Primary practice address
1073 Oak St
Pittston PA 18640-3716
Phone: (570) 654-4141
Fax: (570) 654-2150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DS040290 | Pennsylvania |
Dental Providers / Pediatric Dentistry | 1223P0221X | DS040290 | Pennsylvania |
Profile Details
NPI number | 1679968465 |
---|---|
LBN Legal business name | Shah, Deep I. |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 30th, 2015 |
Last updated | Jan 28th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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