| Sagar M. Shah, Dentist P.c. | |
|
8935 164th St Jamaica NY 11432-5141 | |
| (516) 410-7586 | |
| Not Available |
| Full Name | Sagar M. Shah, Dentist P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8935 164th St, Jamaica, New York |
| Authorized Official Name and Position | Sagar Shah (DENTIST / OWNER) |
| Authorized Official Contact | 5164107586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagar M. Shah, Dentist P.c. 8935 164th St Jamaica NY 11432-5141 Ph: () - | Sagar M. Shah, Dentist P.c. 8935 164th St Jamaica NY 11432-5141 Ph: (516) 410-7586 |
| NPI Number | 1326574682 |
|---|---|
| Provider Enumeration Date | 05/05/2017 |
| Last Update Date | 05/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326574682 | NPI | - | NPPES |
| 03706654 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 056704 (New York) | Primary |
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