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

Poonam Shah, DDS

Individual provider General Practice Dentistry · NPI 1417331497

Poonam Shah, DDS is a General Practice Dentistry in San Antonio, Texas. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
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.

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Practice location Address checks out

11600 Bandera Rd Ste 126
San Antonio, TX 78250-6806
Phone: (951) 316-9574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 64733 (CA)

Record details

NPI number1417331497
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 19, 2015
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address571 Ruth Cir, Corona, CA 92879-8088

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