DR. VIDHI SHAH (NPI# 1164946687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164946687 |
| Entity Type | Individual |
| Full Name | DR. VIDHI SHAH |
| Credential | DMD |
| Practice Address |
3 Kelly Driver Rd Laurel Springs NJ 08021-4823 |
| Mailing Address |
2 Sycamore Lane Swedesboro NJ 08085 |
| Practice Telephone | 9737696497 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02685000 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023300563 | Vidhi Shah | Occupational Therapist | 301 Sunchase Blvd Apt C, Farmville, VA 23901-2982 | 2011-05-03 |
| 1528614294 | Vidhi Shah | Dentist | 2825 El Camino Real, Santa Clara, CA 95051-2901 | 2019-08-17 |
| 1730689621 | Vidhi Shah | Optometrist | 50 Mcnaughten Rd, Columbus, OH 43213-2120 | 2018-02-16 |
| 1932632239 | Vidhi Shah | Dermatology | 17 Davis Blvd Ste 308, Tampa, FL 33606 | 2017-04-04 |
| 1578001343 | Vidhi Shah | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2017-02-01 |
| 1841555661 | Vidhi Shah | Pharmacist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2012-07-09 |
| 1497012033 | Vidhi Pankaj Shah | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2012-04-20 |
| 1922250901 | Vidhi Shah | Internal Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3041 | 2008-10-21 |
| Street Address |
3 KELLY DRIVER RD |
| City | LAUREL SPRINGS |
| State | NJ |
| Zip Code | 08021-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962752089 | Yoon Hee Kim | Dentist | 3 Kelly Driver Rd, Laurel Springs, NJ 08021-4823 | 2012-09-17 |
| 1477968725 | Rajvir Jutla | Dentist | 3 Kelly Driver Rd, Laurel Springs, NJ 08021-4823 | 2014-06-25 |
| 1922413442 | Deepak Mehta | Dentist | 3 Kelly Driver Rd, Laurel Springs, NJ 08021-4823 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
| 1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
| 1881118610 | Arc of Camden County- Millbridge Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 | 2017-08-02 |
| 1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
| 1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
| Find all providers in zip 08021 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1477968725 | Rajvir Jutla | Dentist | 3 Kelly Driver Rd, Laurel Springs, NJ 08021-4823 | 2014-06-25 |
| 1922413442 | Deepak Mehta | Dentist | 3 Kelly Driver Rd, Laurel Springs, NJ 08021-4823 | 2014-06-23 |
| 1508036682 | Shari Jill Sklar | Dentist | 1350 Chews Landing Rd, Laurel Springs, NJ 08021-2702 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588066 | Makram Ksouma | Dentist | 1626 Rte 130, North Brunswick, NJ 08902-3000 | 2020-11-03 |
| 1841890092 | Refka A Salib | Dentist | 730 Newark Ave Apt 11i, Jersey City, NJ 07306-2816 | 2020-10-27 |
| 1336747385 | Dennis Chung | Dentist | 464 Hillside Ave Apt B, Palisades Park, NJ 07650-1345 | 2020-10-13 |
| 1609483775 | Christopher Sonn Dds PC | Dentist | 466 Old Hook Rd Ste 24b, Emerson, NJ 07630-1368 | 2020-09-23 |
| 1316552409 | Zubia Iftikhar | Dentist | 25 Short Hills Cir # 1a, Millburn, NJ 07041-1224 | 2020-09-15 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1174137715 | Bradley Curtis Entrup | Dentist | 176 Kinderkamack Rd, Park Ridge, NJ 07656-1384 | 2020-09-01 |
| 1528672375 | John Anthony Vitello | Dentist | 513 Berlin Cross Keys Rd, Sicklerville, NJ 08081-4368 | 2020-08-31 |
| 1699388611 | Janisley Garcia Martinez | Dentist | 6400 Jefferson St Apt 302, West New York, NJ 07093-5353 | 2020-08-28 |
| 1124631478 | Ismile Dental Care of Bloomfield | Dentist | 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | LAUREL SPRINGS |
| Zip Code | 08021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.