IndividualActive
Khaled Shabany, D.M.D., M.S.
NPI 1578638375 · Periodontics · Creve Coeur, MO
Provider details
- NPI number
- 1578638375
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2002003037 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
443 N New Ballas Rd Ste 244
Creve Coeur, MO 63141-6800
Phone: (314) 755-1542
Fax: (314) 755-1546
Approximate (ZIP-level) locationGet directions
Mailing address
2049 Mckelvey Rd
Maryland Heights, MO 63043-2307
Additional practice locations (1)
- 160 S Bellwood Dr Ste CEast Alton, IL 62024-2086Phone: (618) 258-1244
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2023-01-20
- Certified
- 2023-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.