Most Relevant Information
Provider Data
| NPI Number: | 1003224056 |
| Provider Name: | SHAMIK MAHENDRA SHASTRI DDS, MPH |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 63664 |
Most Important Dates
| Enumeration Date: | 07/22/2014 |
| Last Updated: | 07/06/2024 |
Provider Practice Location
3844 LAMAR AVE
PARIS
TX
754625205
Practice Location Phone/Fax
| Phone: | 9039136864 |
| Fax: |
Provider Mailing Location
380 VISTA COURT DR APT 2122
PLANO
TX
750748393
Provider Mailing Phone/Fax
| Phone: | 9165331715 |
| Fax: |