Sean Paresh Shukla, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043947 Issued in PA

Practice address

1590 Medical Dr Ste D
Pottstown, PA 19464-3247

Phone

(610) 686-6670

NPI assigned

May 30, 2021

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Timeless Smiles Dental LLC

  • General Practice Dentistry
  • Pottstown, PA
  • NPI 1730920554
  NPD
• Bridge Family Dental GRP PA

  dba Charles D Lott DMD

  • Dentist
  • Somerville, NJ
  • NPI 1568526291
  NPD (past)
• Bridgesmilesdental

  • Dental Clinic/Center
  • Somerville, NJ
  • NPI 1003282369
  NPD (past)
• Center for Dental Arts

  dba Digitally Enhanced Dentistry

  • Dentist
  • Lakewood, NJ
  • NPI 1639778186

  General Practice

  NPD (past)
• Digitally Enhanced Dentistry

  • General Practice Dentistry
  • Lakewood, NJ
  • NPI 1518099472
  NPD (past)

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1215503347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 AUTUMN DR",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762428",
            "telephone_number": "908-251-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 MEDICAL DR STE D",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643247",
            "telephone_number": "610-686-6670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Autumn Dr",
            "address_purpose": "LOCATION",
            "city": "Scotch Plains",
            "state": "NJ",
            "postal_code": "070762428",
            "country_code": "US",
            "telephone_number": "908-251-4344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Hillside Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087013394",
            "country_code": "US",
            "telephone_number": "732-333-3383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "SEAN",
        "middle_name": "PARESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-30",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02830000",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amya Shockley
• Nicole Sholey
• Danielle Short
• Diane E Shorter
• Jarrod Showers
• Morgan Shull, MA, BCBA
• Melissa Gail Shumate
• Kelly M Siar
• Sarah R Sibel
• Jennifer Sidarous

• General Practice Dentistry in Pottstown, PA
• Providers in Pottstown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.