IndividualActive
Bansari Shah, B.D.S., M.D.S.
NPI 1891328837 · Periodontics · Aurora, IL
Provider details
- NPI number
- 1891328837
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- B.D.S., M.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- 021.003210 (IL)
Specialties & taxonomies
Dental Providers
Student, Health Care
Practice location
2124 Ogden Avenue
Suite 104
Aurora, IL 60504
Phone: (630) 585-6100
Fax: (630) 778-2070
Approximate (ZIP-level) locationGet directions
Mailing address
2124 Ogden Avenue
Aurora, IL 60504
Additional practice locations (1)
- 501 S Preston St Rm 312Louisville, KY 40202-1701Phone: (502) 852-5100Fax: (502) 852-1317
Registry dates
- Enumerated
- 2020-02-18
- Last updated
- 2023-12-20
- Certified
- 2020-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.