Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154982387 Individual Practitioner Male Practitioner

Dr. Krunal Shah , DDS

Dentist - General Practice • Wilmington, DE

Professional Overview & Biography Verified Profile Summary

Dr. Krunal Shah, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wilmington, DE. Practice services are available at 410 FOULK RD STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

410 Foulk Rd Ste 204

Wilmington, DE 198033802

Telephone 3027626400

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wilmington, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
109 Specialists

Practicing in Wilmington, DE (261 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License DE G1-0011494

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License PA DS042538

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

100 Becks Woods Dr Ste 102

Bear, DE 197013835

Phone: 3028366968

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Erin Rautio , DMD

Dentist - General Practice

NPI 1386725794

Doctor of Dental Medicine

Dr. David Lewis , DDS

Dentist - General Practice

NPI 1891355848

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2023

Dentist (License #DS042538 in PA)

📍
Updated Practice Location October 24, 2023

Registered at 410 FOULK RD STE 204, WILMINGTON, DE 198033802 (Tel: 3027626400)

📍
Updated Business Mailing Address October 24, 2023

Registered at 410 FOULK RD STE 204, WILMINGTON, DE 198033802

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2023

Dentist (License #G1-0011494 in DE)

📍
Updated Practice Location July 16, 2020

Registered at 1419 W OREGON AVE, PHILADELPHIA, PA 191454926 (Tel: 2153105817)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2020

Dentist (License #DS042538 in PA)

NPI Profile Active June 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2019

Registered at 3900 WOODLAND AVE, PHILADELPHIA, PA 191044551 (Tel: 2158235800)

📍
Updated Business Mailing Address June 27, 2019

Registered at 3900 WOODLAND AVE, PHILADELPHIA, PA 191044551

👤
Provider Name / Credentials Updated June 27, 2019

Recorded as KRUNAL SHAH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 27, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154982387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2019
Last Update: November 21, 2023
Sole Proprietor: No

Mailing Address

410 Foulk Rd Ste 204

Wilmington, DE 198033802

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.