Scott William Shallish, D.M.D.

Dentist · Syracuse, NY

Individual Active NPI

NPI number 1780812123

Practice location

3930 E Genesee St
Syracuse, NY 13214-1934
Phone
(315) 471-6188
Fax
(315) 471-0271

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NPI record

NPI
1780812123
Entity type
Individual (Type 1)
Enumeration date
June 24, 2009
Last updated
January 4, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 055055 NY

About Dr. Shallish

Scott William Shallish, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3930 E Genesee St, Syracuse, NY 13214-1934. The NPI number 1780812123 was assigned on June 24, 2009 and the record was last updated on January 4, 2012.

Dr. Shallish lists a license in the registry: #055055 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott William Shallish, D.M.D.?

The NPI number is 1780812123.

What is the phone number of Dr. Shallish?

The phone number listed for the practice location is (315) 471-6188.

Where is Dr. Shallish located?

3930 E Genesee St, Syracuse, NY 13214-1934.

What is the taxonomy code for Dr. Shallish?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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