Provider Demographics
NPI:1972486371
Name:SHAH, ANUP H (DMD)
Entity type:Individual
Prefix:DR
First Name:ANUP
Middle Name:H
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 1:2355B FACULTY DR
Mailing Address - Street 2:
Mailing Address - City:UNITED STATES AIR FORCE ACAD
Mailing Address - State:CO
Mailing Address - Zip Code:80840-1802
Mailing Address - Country:US
Mailing Address - Phone:719-333-5192
Mailing Address - Fax:
Practice Address - Street 1:2355B FACULTY DR
Practice Address - Street 2:
Practice Address - City:UNITED STATES AIR FORCE ACAD
Practice Address - State:CO
Practice Address - Zip Code:80840-1802
Practice Address - Country:US
Practice Address - Phone:719-333-5192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS045385122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist