Shahine Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

051526 Issued in NY

Legal business name

SHAHINE DENTAL, P.C.

Practice address

8075 Oswego Rd
Liverpool, NY 13090-1691

Phone

(315) 622-6603

Fax

(315) 622-6606

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Iman Shahine, D.D.S.

Title

Owner

Phone

(315) 622-6603

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1134464936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901691",
            "telephone_number": "315-622-6603",
            "fax_number": "315-622-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901691",
            "telephone_number": "315-622-6603",
            "fax_number": "315-622-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHINE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "SHAHINE",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-622-6603",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "051526",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "056220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1992070767",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1720076979",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02608079",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edina Selimovic, RN
• Young Il Seo, MD
• Marilynn Sergott, FNP-C
• Rajeev K. Seth, MD
• Judith A Setla, M.D.
• Katherine Shea
• Janice H. Sheridan
• Susan M Sheridan, RN
• Marianne Sherlock, P.T.
• Lisa N Sherman

• Dentist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.