Skip Navigation

Provider Information for 1467674309



DR. ADITI SHAH DDS

Gender: FEMALE

Individual NPI: 1467674309

Calendar Last Updated: 2016-04-15

Details

Name Value
NPI 1467674309
Enumeration Date 2007-05-02
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 5611 COLLEYVILLE BLVD SUITE 140
COLLEYVILLE, TX 76034-6069
United States

Phone: 817-809-4445 | Fax: 817-541-4449
View Map External Link
Primary Practice Address 5611 COLLEYVILLE BLVD SUITE 140
COLLEYVILLE, TX 76034-6069
United States

Phone: 817-809-4445 | Fax: 817-541-4449
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice TX 22919
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location