MAULIK SHAH,DDS, INC (NPI# 1962918862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962918862 |
| Entity Type | Organization |
| Organization Name | MAULIK SHAH,DDS, INC |
| Other Organization Name | SMILEPRO DENTAL, PRACTICE OF MAULIK SHAH,DDS, INC |
| Practice Address |
8014 Lower Sacramento Rd Ste B Stockton CA 95210-3747 |
| Mailing Address |
4116 Dragoo Park Dr Modesto CA 95356-1860 |
| Practice Telephone | 2092473307 |
| Mailing Telephone | 2092473307 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MAULIK MAHENDRABHAI SHAH (PRESIDENT) |
| Authorized Official Telephone | 2092473307 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SmilePro Dental, Practice of Maulik Shah,DDS, Inc | Doing Business As Name - Organization |
| Street Address |
8014 LOWER SACRAMENTO RD STE B |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295814648 | Elham Elahiyoun | Dentist | 8014 Lower Sacramento Rd Ste B, Stockton, CA 95210-3747 | 2006-11-06 |
| 1851453542 | Maulik Mahendrabhai Shah | Dentist | 8014 Lower Sacramento Rd Ste B, Stockton, CA 95210-3747 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733029 | Momani Dds Inc | Clinic/Center | 333 San Carlos Wy, Ste A, Stockton, CA 95207-2037 | 2020-02-27 |
| 1326678368 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3499 Brookside Rd Ste F, Stockton, CA 95219-1784 | 2020-01-17 |
| 1629627930 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 5757 Pacific Ave Unit A-145, Stockton, CA 95207-5100 | 2019-09-09 |
| 1275181059 | Sharon A. Manaois, Dds, Inc. | Clinic/Center | 756 Porter Ave Ste 100, Stockton, CA 95207-4233 | 2019-08-26 |
| 1457867590 | Ikhlaq-rosinski Dental Partners Dds PC | Clinic/Center | 201 W Smith Dr, Stockton, MO 65785-7620 | 2017-12-27 |
| 1306017876 | Dr. Joseph P. Viviano Dds Inc. | Clinic/Center | 3133 W March Ln Ste 2040, Stockton, CA 95219-2361 | 2008-03-12 |
| 1700071065 | Nicasio Abriol Dmd Inc | Clinic/Center | 1512 S El Dorado St, Stockton, CA 95206-2020 | 2007-09-10 |
| 1295368561 | Manuel M. Contreras Dds A Professional Dental Corporation | Clinic/Center | 1701 W March Ln Ste B, Stockton, CA 95207-6416 | 2020-02-14 |
| 1881258192 | John T. Reed, Dds., Inc. | Clinic/Center | 2509 W March Ln Ste 240, Stockton, CA 95207-8223 | 2019-04-23 |
| 1104313030 | Dr. Syed S.rizvi Dds. A Professional Corporation | Clinic/Center | 940 N Center St, Stockton, CA 95202 | 2018-04-17 |
| Find all providers in STOCKTON | ||||
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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.