Sandra Shih, DDS
Individual provider Active NPI Pediatric Dentistry · White Marsh, MD
NPI 1295881597 · NPPES record last updated Oct 23, 2014
Key facts
- NPI
- 1295881597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 13125 (MD)
- Practice address
- 5430 Campbell Blvd
Suite 209
White Marsh, MD 21162 - Phone
- (443) 725-4185
- Fax
- (443) 725-4187
- NPI assigned
- Jan 27, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 13125 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Marsh Pediatric Dentistry, LLC | Pediatric Dentistry | Current |
Accepting new patients |
Locations
5430 Campbell Blvd
Ste 209
White Marsh, MD 21162
Phone (443) 725-4185
Interoperability endpoints
- sshih1373@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 13125 | MD | Yes |
Addresses
Primary practice location
5430 Campbell Blvd
Suite 209
White Marsh, MD 21162
Mailing address
5430 Campbell Blvd
Suite 209
White Marsh, MD 21162-5500
Phone (443) 725-4185
Other providers in White Marsh, MD
- David S Sandler
- Sudhir Sekhsaria
- Sade Sellars
- Jennifer Shapiro
- Nicole Latasha Shell
- Sinai Hospital of Baltimore, Inc.
- Kassie Sines
- Sarbjit Singh
- Manav Singla
- Amir Soleimani
All providers in White Marsh, MD · Pediatric Dentistry in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2014. 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.