National Provider Identifier Database

BRIAN SHAH MD PLLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

BRIAN SHAH, MD, PLLC
131 2ND AVE S
SAINT PETERSBURG, FL33701-4382
Phone: 727-823-3220
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for BRIAN SHAH, MD, PLLC

NPI Number 1205573144
Legal business name
LBN
BRIAN SHAH, MD, PLLC
Authorized official BRIAN SHAH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/12/2022
Last updated 05/12/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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