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

Dr. Bansari Shah, BDS, MDS

Individual provider Periodontics · NPI 1891328837

Dr. Bansari Shah, BDS, MDS is a Periodontics in Aurora, Illinois. Works from 2 locations. Licensed in Illinois and Kentucky.

Licensed in
IL, KY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2124 Ogden Ave Ste 104
Aurora, IL 60504
Phone: (630) 585-6100
Fax: (630) 778-2070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 S Preston St Rm 312, Louisville, KY 40202-1701 — (502) 852-5100

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 021.003210 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 10355 (KY)

Record details

NPI number1891328837
Entity typeIndividual (Type 1)
GenderFemale
Credentials BDS , MDS
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESDecember 20, 2023
Certification dateFebruary 18, 2020

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