Provider Demographics
NPI:1619672151
Name:SHAH, KARAN J (DDS)
Entity type:Individual
Prefix:
First Name:KARAN
Middle Name:J
Last Name:SHAH
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 1:5225 BELT LINE RD STE 222
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-1436
Mailing Address - Country:US
Mailing Address - Phone:945-327-1686
Mailing Address - Fax:
Practice Address - Street 1:5225 BELT LINE RD STE 222
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-1436
Practice Address - Country:US
Practice Address - Phone:945-327-1686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX412381223G0001X
LA75941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice