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Deep Shah, DMD
NPI 1679968465 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1073 Oak St
Pittston, PA 18640 - Phone
- (570) 654-4141
- Fax
- (570) 654-2150
- Organisation at this address
- Sprout Pediatric Dental
Northeast Dental Surgery Center PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Also registered as
- Dentist
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania