DR. Tushar S Shah, DDS

NPI #1659451367 in Ottawa, Illinois

Provider Information

NPI Number: 1659451367
Entity Type: Individual
Name: DR. Tushar S Shah, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DDS
Enumeration Date: Oct 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1704 POLARIS CIRCLE
City: Ottawa
State: Illinois
ZIP Code: 61350
Phone: (815) 434-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

Provider Name	Specialty	City
Myorthos Illinois Orthodontics PC Part of Myorthos Illinois Orthodontics PC	Dentist - Orthodontics and Dentofacial Orthopedics	Ottawa	AI Deep Dive

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