Shahad Alwan, DMD
Individual provider Active NPI General Practice Dentistry · Georgetown, KY
NPI 1467020073 · NPPES record last updated Jun 11, 2021
Key facts
- NPI
- 1467020073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 10646 (KY)
- Practice address
- 230 Connector Rd
Georgetown, KY 40324-9722 - Phone
- (502) 642-5008
- NPI assigned
- Jun 11, 2021
- 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 |
|---|---|---|---|
| 10646 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dustin Mayrand DMD PLLC | General Practice | Current |
Accepting new patients |
| Cynthiana Dental Center | General Practice | Past | Accepting new patients |
| Dental Health Associates PSC | General Practice | Past | Accepting new patients |
Locations
230 Connector Rd
Georgetown, KY 40324
Phone (502) 642-5008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10646 | KY | Yes |
Addresses
Primary practice location
230 Connector Rd
Georgetown, KY 40324-9722
Mailing address
230 Connector Rd
Georgetown, KY 40324-9722
Phone (502) 642-5008
Other practice location 1
2115 Rocky Dr
Paris, KY 40361-1370
Phone (859) 987-3290
Other providers in Georgetown, KY
- Laura Anne Allen
- Wilson Kingsley Allen
- Allison Henley, DMD, PLLC
- Antonio Allman
- Dalia Marie Alsous
- American Best Practices, LLC
- American Current Care PA
- Ashley Ammerman
- Lauren Elyse Ammerman
- Christopher Arthur Angelopoulos
All providers in Georgetown, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 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.