| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHAHEEN SHAFAGH | 1013403666 | 2022-01-28 |
Shaheen Shafagh is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013403666. Registration indicates Shaheen Shafagh is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Dr. Shaheen Shafagh DMD |
| Practice Office Address | 100 S EAGLE RD HAVERTOWN, PA US |
| Practice Office Telephone | 1044666886 |
| Practice Office Fax | 6104466844 |
| Mailing Address | 125 FAIRVIEW RD PENN VALLEY, PA 190721330 US |
| Business Telephone | 6107338877 |
| Business Fax | 6104466844 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | DS042966
PA |
| 122300000X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | DEN.00203680
CO |