Maulik Shah Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50677 Issued in CA

Legal business name

MAULIK SHAH DENTAL CORPORATION

Doing business as

ACCORD DENTAL,PRACTICE OF MAULIK SHAH DENTAL CORPORATION

Practice address

4120 Dale Rd
Suite J-6
Modesto, CA 95356-9232

Phone

(209) 247-3307

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Maulik M Shah, DDSNPI 1851453542

Title

Owner Dentist/Ceo

Phone

(209) 247-3307

Specialties & licenses 1

Addresses

Other names 1

• ACCORD DENTAL,PRACTICE OF MAULIK SHAH DENTAL CORPORATION Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maulik Mahendrabhai Shah, D.D.S.

  • Dentist
  • Riverbank, CA
  • NPI 1851453542
  NPD (past) Authorized official

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1508095068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 DRAGOO PARK DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561860",
            "telephone_number": "209-247-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 DALE RD",
            "address_2": "SUITE J-6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569232",
            "telephone_number": "209-247-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAULIK SHAH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MAULIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DENTIST/CEO",
        "authorized_official_telephone_number": "209-247-3307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCORD DENTAL,PRACTICE OF MAULIK SHAH DENTAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aliesha Angelina Mattos
• Makenzie Mattos
• Natalie Angele Mattos, PA
• Muhammad A Mattu, M.D.
• Laurie Mauldin, FNP
• Lissette Leilani Maunakea
• Carley Lynne Maurer
• Emma Maurer
• Kent Maurice, PHARMD
• Maxim Healthcare Services, Inc.

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.