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Deactivated NPI 1659683464 Deactivated / Inactive NPI Female Practitioner

Dr. Sheeba Shaju , DDS

Dentist - General Practice • Chester, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sheeba Shaju has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 09, 2010
NPI Deactivation Date October 24, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Sheeba Shaju, DDS was a registered Dentist - General Practice practicing in Chester, PA. Throughout an active medical career spanning 8 years, Dr. Shaju provided care at the practice location at 2200 PROVIDENCE AVE until profile deactivation on 2018-10-24.

Practice Location & Contact Primary Location

Practice Address

2200 Providence Ave

Chester, PA 190135219

Telephone 6108722355
Associated Practice Facility / Clinic
🏢 Campus Dental Center, Inc. Facility NPI 1538234018

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chester, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Chester, PA (4936 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS038352

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Said Mohamed-Ali , DDS

Dentist - General Practice

NPI 1275607988

Doctor of Dental Surgery

Dr. Jian Huang , DMD

Dentist - General Practice

NPI 1639308653

Doctor of Dental Medicine

Dr. Louis Will , DDS

Dentist - General Practice

NPI 1841411550

Doctor of Dental Surgery

Dr. Sandy Lin , DMD

Dentist - General Practice

NPI 1902972169

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 24, 2018

Record deactivated on October 24, 2018

NPI Profile Active July 09, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2010

Registered at 2200 PROVIDENCE AVE, CHESTER, PA 190135219 (Tel: 6108722355)

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Updated Business Mailing Address July 09, 2010

Registered at 18 MADISON WAY, DOWNINGTOWN, PA 193355329 (Tel: 4047978870)

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Provider Name / Credentials Updated July 09, 2010

Recorded as SHEEBA SHAJU, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2010

Dentist (License #DS038352 in PA)

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Initial NPI Registration & Enumeration July 09, 2010

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: 1659683464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2010
Last Update: July 09, 2010
Deactivation Date: October 24, 2018

Mailing Address

18 Madison Way

Downingtown, PA 193355329

Phone: 4047978870

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.