Shreya Shah
Individual provider Active NPI Dentist · Plainfield, CT
NPI 1942989082 · NPPES record last updated Jul 17, 2023
Key facts
- NPI
- 1942989082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 13836 (CT)
- Practice address
- 721 Norwich Rd
Plainfield, CT 06374-1734 - Phone
- (732) 979-4258
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 13836 | CT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13836 | CT | |
| Dentist | 122300000X | 13836 | CT | Yes |
Addresses
Primary practice location
721 Norwich Rd
Plainfield, CT 06374-1734
Mailing address
721 Norwich Rd
Plainfield, CT 06374-1734
Other providers in Plainfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2023. 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.