Provider Demographics
NPI:1588731186
Name:SHAIT, ABRAHAM (DDS)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:
Last Name:SHAIT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 SKIPWITH RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4443
Mailing Address - Country:US
Mailing Address - Phone:804-270-7070
Mailing Address - Fax:804-270-0277
Practice Address - Street 1:3210 SKIPWITH RD
Practice Address - Street 2:SUITE D
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4443
Practice Address - Country:US
Practice Address - Phone:804-270-7070
Practice Address - Fax:804-270-0277
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA052261223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics