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SHAH DENTAL CLINIC,LLC
NPI 1669614145
Dentist - General Practice in Centralia, IL

Active since March 31, 2009
135 S SYCAMORE ST, CENTRALIA, IL 62801(618) 532-1411(618) 532-1496 Get Directions Write a Review

NPPES record last updated: March 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shah Dental Clinic,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAH DENTAL CLINIC,LLC (NPI 1669614145) is a healthcare organization registered as a general practice in Centralia, Illinois and active in the NPI registry since March 2009. The organization lists Kianor Shahmohammadi, Owner, as its authorized official.

NPPES Registry Identity

NPI1669614145
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHAH DENTAL CLINIC,LLC
Location Address135 S SYCAMORE STCentralia, IL 62801-3525
Mailing Address135 S Sycamore St, P.o. Box 703Centralia, IL 62801-3525 · (618) 532-1411 · Fax (618) 532-1496
Phone(618) 532-1411
Fax(618) 532-1496
Organization SubpartNo
Authorized OfficialKianor ShahmohammadiOwner · (618) 532-1411
Enumeration DateMarch 31, 2009
✔ NPI 1669614145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019027170
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
135 S SYCAMORE ST, Centralia, IL 62801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KIANOR SHAHMOHAMMADI DMD
Dentist (General Practice)
135 S SYCAMORE ST
CENTRALIA, IL 62801
Marion County (618) 532-1411
DR. NARI CHO
Dentist
135 S SYCAMORE ST
CENTRALIA, IL 62801
Marion County (718) 532-1411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shah Dental Clinic,llc's NPI number?

The NPI number for Shah Dental Clinic,llc is 1669614145. It was assigned to this organization in the NPPES registry on March 31, 2009.

Where is Shah Dental Clinic,llc located?

Shah Dental Clinic,llc is located at 135 S Sycamore St, Centralia, IL 62801. The listed phone number is (618) 532-1411.

What is Shah Dental Clinic,llc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shah Dental Clinic,llc was last updated on March 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.