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

Shivani Shivkumar Mallishery

Individual provider Dentist · NPI 1396506192

Shivani Shivkumar Mallishery is a Dentist in Austell, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

3999 Austell Rd Ste 211
Austell, GA 30106-1144
Phone: (770) 732-3364
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN123318 (GA)

Record details

NPI number1396506192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2024
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 15, 2024

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