DR AQEELA SYEDA SHAH DDS INC
NPI 1285075960
Clinic/Center - Dental in Santa Ana, CA

Active since July 10, 2013
3839 W 1ST ST, B-1, SANTA ANA, CA 92703(714) 554-5062(714) 554-5063 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About DR AQEELA SYEDA SHAH DDS INC

This page provides the complete NPI Profile along with additional information for Dr Aqeela Syeda Shah Dds Inc, a provider established in Santa Ana, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1285075960 assigned on July 2013. The practitioner's primary taxonomy code is 261QD0000X with license number 58179 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Aqeela Syeda Shah Dds (President)

NPI
1285075960 Verify this NPI
Provider Name
DR AQEELA SYEDA SHAH DDS INC
Entity Type
Organization
Location Address
3839 W 1ST ST B-1 SANTA ANA, CA 92703
Location Phone
(714) 554-5062
Location Fax
(714) 554-5063
Mailing Address
3839 W 1ST ST B-1 SANTA ANA, CA 92703
Mailing Phone
(714) 554-5062
Mailing Fax
(714) 554-5063
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2013
Last Update Date
07-10-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
58179
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. AQEELA SYEDA SHAH DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 554-5062

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
3839 W 1ST ST, STE B8
SANTA ANA, CA 92703
Dentist
3839 W 1ST ST, B-1
SANTA ANA, CA 92703
Dentist (General Practice)
3839 W 1ST ST, SUITE B-1
SANTA ANA, CA 92703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285075960, enumerated as an "organization" on July 10, 2013.

The provider is located at 3839 W 1ST ST B-1 SANTA ANA, CA 92703 and the phone number is (714) 554-5062.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.