Shah, Shailly

Shah, Shailly is an individual health care provider with primary practice located at 52 Thomas Johnson Dr , Frederick MD 21702-4501. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Shah, Shailly can be contacted via phone (301) 631-0501.

Contact Information

Primary practice address
52 Thomas Johnson Dr Frederick MD 21702-4501
Phone: (301) 631-0501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 13417 Connecticut
Dental Providers / Pediatric Dentistry 1223P0221X 18138 Maryland

Profile Details

NPI number 1215670351
LBN Legal business name Shah, Shailly
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2022
Last updated Jul 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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