IndividualActive
Shabnam Mohammed Charlie, DDS
NPI 1811832579 · Oral and Maxillofacial Radiology Dentistry · Dallas, TX
Provider details
- NPI number
- 1811832579
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 390200000X (TX)
Specialties & taxonomies
Dental Providers
Practice location
3302 Gaston Ave
Dallas, TX 75246-2013
Phone: (214) 828-8215
Approximate (ZIP-level) locationGet directions
Mailing address
3302 Gaston Ave
Dallas, TX 75246-2013
Registry dates
- Enumerated
- 2026-04-21
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.