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
Fax: (570) 654-2150
Website:

Health care specialties

SpecialtyCodeLicense #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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