Shahu Dentistry, PLLC Dba Excel Dental Depot

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHAHU DENTISTRY, PLLC DBA EXCEL DENTAL DEPOT

Practice address

3368 S Linden Rd
Flint, MI 48507-3008

Phone

(989) 387-9767

NPI assigned

May 2, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Purna Shah, DMDNPI 1992180194

Title

Owner

Phone

(989) 387-9767

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Purna Nandan Shah, DMD

  • Dentist
  • Flint, MI
  • NPI 1992180194
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1003505587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 MOONSTONE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397811",
            "telephone_number": "989-387-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073008",
            "telephone_number": "989-387-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHU DENTISTRY, PLLC DBA EXCEL DENTAL DEPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PURNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-387-9767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michele Shaheen, LMSW
• Michael G Shaheen, D.O.
• Nicole Lynn Shaheen, CNM
• Ronald E Shaheen, DO
• Maheen Shahid, MD
• Tabrez Shaik Mohammed, M.D.
• Shawna Ashley Marie Shailer
• Ahmed A Shalabi, MD
• Noor Ahmed Shamesaldin, MD
• Tareq Shamieh

• Dental Clinic/Center in Flint, MI
• Providers in Flint, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.