Provider Demographics
NPI:1295623148
Name:SHAH, AKASH DIKESH (DMD)
Entity type:Individual
Prefix:
First Name:AKASH
Middle Name:DIKESH
Last Name:SHAH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 BOOMTOWN GARSON RD APT 10-201
Mailing Address - Street 2:
Mailing Address - City:VERDI
Mailing Address - State:NV
Mailing Address - Zip Code:89439-8221
Mailing Address - Country:US
Mailing Address - Phone:321-216-7067
Mailing Address - Fax:
Practice Address - Street 1:5150 MAE ANNE AVE STE 810A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1881
Practice Address - Country:US
Practice Address - Phone:775-747-0680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8209122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist