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.

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)

Practice location

135 S Sycamore St

Centralia, IL 62801-3525

Phone: (618) 532-1411

Fax: (618) 532-1496

Street-level locationGet directions

More IL providers

Mailing address

135 S Sycamore St

Centralia, IL 62801-3525

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 019027170 (IL)
Dental Providers

Profile Score

Detailed profile(86/100 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions