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

Dr. Scott William Shallish, DMD

Individual provider Dentist · NPI 1780812123

Dr. Scott William Shallish, DMD is a Dentist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3930 E Genesee St
Syracuse, NY 13214-1934
Phone: (315) 471-6188
Fax: (315) 471-0271
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 055055 (NY)

Record details

NPI number1780812123
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 24, 2009
Last updated in NPPESJanuary 4, 2012
Mailing address3930 E Genesee St, Syracuse, NY 13214-1934

Other providers in Syracuse