SHADY SHAABAN
NPI 1770572877
Dentist - General Practice in Garden Grove, CA

Q: What is Shady Shaaban's NPI number?

The NPI number for Shady Shaaban is 1770572877. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Q: What is Shady Shaaban's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shady Shaaban was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 20, 2005

12752 GARDEN GROVE BLVD STE 200, GARDEN GROVE, CA 92843(714) 636-2595 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017 (2 updates tracked since 2017).

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About Shady Shaaban NPPES

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

SHADY SHAABAN (NPI 1770572877) is an individual general practice provider in Garden Grove, California, licensed in California (56794) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1770572877

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSHADY SHAABAN

Location Address12752 GARDEN GROVE BLVD STE 200Garden Grove, CA 92843-1924

Mailing Address12752 Garden Grove Blvd Ste 200Garden Grove, CA 92843-1924 · (714) 636-2595

Phone(714) 636-2595

Sole ProprietorYes

Enumeration DateOctober 20, 2005

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1770572877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in CA · 56794✔ Licensed in MN · D12148

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.

12752 GARDEN GROVE BLVD STE 200, Garden Grove, CA 92843

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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.

DR. JAMES S SHON DDS

Dentist (General Practice)

12752 GARDEN GROVE BLVD STE 200
GARDEN GROVE, CA 92843

Orange County (714) 636-2595

JAMES SHON DDS INC.

Dentist (General Practice)

12752 GARDEN GROVE BLVD STE 200
GARDEN GROVE, CA 92843

Orange County (714) 636-2595

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 Shady Shaaban's NPI number?

The NPI number for Shady Shaaban is 1770572877. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Shady Shaaban located?

Shady Shaaban practices at 12752 Garden Grove Blvd Ste 200, Garden Grove, CA 92843. The listed phone number is (714) 636-2595.

What is Shady Shaaban'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 Shady Shaaban was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.