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

Shahab Ardalan, DDS

Individual provider Dentist · NPI 1063493641

Shahab Ardalan, DDS is a Dentist in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
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

6040 N 43rd Ave Ste #4
Glendale, AZ 85301-5488
Phone: (623) 218-2222
Fax: (623) 218-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D5562 (AZ)

Record details

NPI number1063493641
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESJuly 8, 2007
Mailing address6040 N 43rd Ave, Suite #4, Glendale, AZ 85301-5488

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