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

Shady Kerolles, DDS

Individual provider Dentist · NPI 1215629498

Shady Kerolles, DDS is a Dentist in Irvine, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

15342 Saverne Cir
Irvine, CA 92604-2942
Phone: (714) 402-8237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 109121 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215629498
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 24, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address15342 Saverne Cir, Irvine, CA 92604-2942

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