Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian S Shah, DDS, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1104867431

Brian S Shah, DDS, MD is an Oral and Maxillofacial Surgery (Dentist) in St Petersburg, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2006.

Licensed in
FL, IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

131 2nd Ave S
St Petersburg, FL 33701-4382
Phone: (727) 823-3220
Fax: (727) 823-7284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence ME139554 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 019.028191 (IL)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 036.125106 (IL)

Record details

NPI number1104867431
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address131 2nd Ave S, St. Petersburg, FL 33701-4382

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