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

Dr. Shane Gantos, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679466460

Dr. Shane Gantos, DDS is a Student in an Organized Health Care Education/Training Program in Birmingham, Alabama. Registered with an NPI since 2025.

In the registry since
2025
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.

See every abbreviation used in this directory →

Practice location Address checks out

700 19th St S
Birmingham, AL 35233-1927
Phone: (205) 933-8101
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679466460
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 30, 2025
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

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