Shebah Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHEBAH DENTAL, PLLC

Practice address

530 San Pedro Ave
Suite 126
San Antonio, TX 78212-5007

Phone

(210) 986-2797

Fax

(210) 247-9383

NPI assigned

Aug 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Oluwadayo Oluwadara

Title

Owner/Provider

Phone

(210) 986-2797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1649647983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SAN PEDRO AVE",
            "address_2": "SUITE 126",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125007",
            "telephone_number": "210-986-2797",
            "fax_number": "210-247-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SAN PEDRO AVE",
            "address_2": "SUITE 126",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125007",
            "telephone_number": "210-986-2797",
            "fax_number": "210-247-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEBAH DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "OLUWADARA",
        "authorized_official_first_name": "OLUWADAYO",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "210-986-2797",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J. Shea Jr., M.D.
• Jeffrey M Shear, MD
• Shearer Hills Inpatient Services PLLC
• Seleah Sheares
• Kyana Shearn
• Karry Ann Shebetka, DPM
• Ilana Shecter
• Madison Zain Sheedy
• Amanda Sheehan-Crisp, LPC-ASSOCIATE
• Ainsley Sheehan

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.