Shah Dental Clinic, LLC
Shah Dental Clinic, LLC provides General Practice Dentistry in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
135 S Sycamore StCentralia, IL 62801-3525 Not confirmed with CMS for 17 years — call before visiting
Phone: (618) 532-1411
Fax: (618) 532-1496
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019027170 (IL) |
|---|
Record details
| NPI number | 1669614145 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kianor Shahmohammadi — Owner · (618) 532-1411 |
| NPI enumerated | March 31, 2009 |
| Last updated in NPPES | March 31, 2009 |
| Mailing address | 135 S Sycamore St, P.O. Box 703, Centralia, IL 62801-3525 |
Other providers in Centralia
-
Dr. Vanessa L Cole, DMD
516 S Locust St, Centralia, IL 62801-4224 · (618) 532-2500
-
Abdul L Junidi, DDS
1035 E Jonas St, Centralia, IL 62801-3309 · (618) 533-6709
-
Mr. Kianor Shahmohammadi, DMD
135 S Sycamore St, Centralia, IL 62801-3525 · (618) 532-1411