Dhara Shah, D.M.D
Individual provider Active NPI General Practice Dentistry · Upton, MA
NPI 1124457924 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1124457924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11232 (CT)
- Practice address
- 113 Main St Ste 7And7A
Upton, MA 01568-1621 - Phone
- (508) 529-4591
- NPI assigned
- Nov 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0099598 | VT | MD | Dentist |
| 11232 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peabody Dental Spa, PLLC | General Practice | Current |
Accepting new patients |
| Upton Dental Care PLLC | Current | Accepting new patients | |
| Royal Dental Brookline PLLC | General Practice | Current | Accepting new patients |
Locations
124 Newbury St
Ste D
Peabody, MA 01960
Phone (517) 316-6314
113 Main St
Ste 7AND7A
Upton, MA 01568
Phone (508) 529-4591
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0099598 | VT | |
| General Practice Dentistry | 1223G0001X | 11232 | CT | Yes |
Addresses
Primary practice location
113 Main St Ste 7And7A
Upton, MA 01568-1621
Mailing address
124 Newbury St Ste D
Peabody, MA 01960-4067
Phone (978) 278-5478
Other practice location 1
202 Pomfret St
Putnam, CT 06260-1833
Phone (860) 963-7917
Other providers in Upton, MA
- Helen T Sammarco
- Sabrina Yvette Sanchez
- Lindsay Nicole Scaringella
- Cindi Bauers Scrimgeour
- Antonya Faustine Faith Sedor
- Keya Shah
- Lindsay T Shepard
- Christopher Michael Smith
- Laura Jean Strasnick
- Carole Stratton
All providers in Upton, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.