Shady Shaaban is a Garden Grove, California based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Shady Shaaban is
56794 for General Practice Dentistry in California. His current practice location is
12752 Garden Grove Blvd Ste 200, Garden Grove. Patients can reach him at
714-636-2595.
Shady Shaaban is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Shady Shaaban speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Shady Shaaban |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12752 Garden Grove Blvd Ste 200, Garden Grove,
California, 92843-1924 |
| Phone: | 714-636-2595 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1770572877 |
| NPI Enumeration Date: | 20 Oct, 2005 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shady Shaaban are as mentioned below.
| License Number | Specialization | State | Status | |
| 56794 | General Practice Dentistry | California | Primary | |
| D12148 | General Practice Dentistry | Minnesota | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12752 Garden Grove Blvd Ste 200,
Garden Grove, California |
| Zip: | 92843-1924 |
| Phone Number: | 714-636-2595 |
Patients can reach Shady Shaaban at
12752 Garden Grove Blvd Ste 200, Garden Grove, California or can
call to book an appointment on 714-636-2595.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.