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

Individual provider Dentist · NPI 1104206010

Dr. Shyam A. Shah, DMD is a Dentist in Newark, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2015
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

110 Bergen St Rm B-854
Newark, NJ 07103-2495
Phone: (973) 972-4717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 245 Paterson Ave, Little Falls, NJ 07424-4629 — (973) 256-3912

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI02605700 (NJ)

Record details

NPI number1104206010
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESNovember 14, 2019

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