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

Shady Bishai, DDS

Individual provider General Practice Dentistry · NPI 1174193213

Shady Bishai, DDS is a Dentist in Texas City, Texas. Graduated from University of Minnesota School of Dentistry in 2021, 5 years ago. Works from 2 locations. Licensed in Minnesota and Texas.

Years since qualifying
5
Trained at
University of Minnesota School of Dentistry
Licensed in
MN, TX
In the registry since
2021
Specialties on file
2
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

9850C Emmett F Lowry Expy Ste C-103
Texas City, TX 77591-2122
Phone: (409) 938-2234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12355 Potranco Rd Ste 105, San Antonio, TX 78253-5847 — (210) 202-1604

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 37540 (TX)
General Practice Dentistry Taxonomy 1223G0001X · Licence D14617 (MN)

Record details

NPI number1174193213
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address5565 Mansions Blfs Apt 804, San Antonio, TX 78245-4131

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolUNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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