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Amit Shah DDS INC

Dentist, General Practice in Newport Beach, CA. Organization (NPI-2).

NPI number1164585055
StatusActive
Last updated in NPPESJun 17, 2008

Details

NPI
1164585055
Entity type
Organization (NPI-2)
Legal business name
Amit Shah DDS INC
Organization subpart
No
Enumeration date
Dec 19, 2006
Last updated
Jun 17, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice49805CAYes

Practice location

355 Placentia Ave
# 205
Newport Beach, CA 92663

Phone 949-646-0818 · Fax 949-646-0006

Mailing address

355 Placentia Ave
# 205
Newport Beach, CA 92663

Phone 949-646-0818 · Fax 949-646-0006

Authorized official

Amit Shah
Owner
9696460818

Is something wrong?

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