OrganizationActive
Shah Dental Clinic,llc
NPI 1669614145 · General Practice Dentistry · Centralia, IL
Shah Dental Clinic,llc is a General Practice Dentistry organization in Centralia, IL (NPI 1669614145).
Provider details
- NPI number
- 1669614145
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kianor Shahmohammadi, Owner(618) 532-1411
- License
- 019027170 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
135 S Sycamore St
Centralia, IL 62801-3525
Phone: (618) 532-1411
Fax: (618) 532-1496
Street-level locationGet directions
Mailing address
135 S Sycamore St
Centralia, IL 62801-3525
Registry dates
- Enumerated
- 2009-03-31
- Last updated
- 2009-03-31
Frequently asked questions
- What is Shah Dental Clinic,llc's NPI number?
- Shah Dental Clinic,llc's National Provider Identifier (NPI) is 1669614145, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shah Dental Clinic,llc?
- Shah Dental Clinic,llc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Shah Dental Clinic,llc located?
- Shah Dental Clinic,llc's practice location on file with NPPES is 135 S Sycamore St, Centralia, IL 62801-3525.
- What is Shah Dental Clinic,llc's phone number?
- The practice phone number listed in the NPPES registry for Shah Dental Clinic,llc is (618) 532-1411.
- Who is the authorized official for Shah Dental Clinic,llc?
- The authorized official listed on Shah Dental Clinic,llc's NPPES record is Kianor Shahmohammadi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shah Dental Clinic,llc's NPI active?
- Yes — Shah Dental Clinic,llc's NPI (1669614145) is active in the NPPES registry as of the last update on 2009-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.