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

Vaidehi S Shah

Individual provider Dentist · NPI 1871107623

Vaidehi S Shah is a Prosthodontics in Bala Cynwyd, Pennsylvania. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020

Practice location Address checks out

301 E City Ave Ste G5
Bala Cynwyd, PA 19004-1707
Phone: (203) 583-0404
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS042907 (PA)

Record details

NPI number1871107623
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020
Mailing address1 Franklin Town Blvd Apt 707, Philadelphia, PA 19103-1243

Medicare enrollment

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

Medicare specialtyPROSTHODONTICS
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Bala Cynwyd