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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790570745

Meet Raxitkumar Shah, DMD is a Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2025.

Licensed in
NJ
In the registry since
2025
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

60 2nd St
Hackensack, NJ 07601-2050
Phone: (551) 996-2111
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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 (NJ)

Record details

NPI number1790570745
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 10, 2025
Last updated in NPPESApril 10, 2025
Certification dateApril 3, 2025

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