Provider Demographics
NPI:1366052839
Name:MAAHS, SHELBY (DDS)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:
Last Name:MAAHS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 S MARQUETTE RD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE DU CHIEN
Mailing Address - State:WI
Mailing Address - Zip Code:53821-2214
Mailing Address - Country:US
Mailing Address - Phone:608-326-6886
Mailing Address - Fax:608-326-4896
Practice Address - Street 1:820 S MARQUETTE RD
Practice Address - Street 2:
Practice Address - City:PRAIRIE DU CHIEN
Practice Address - State:WI
Practice Address - Zip Code:53821-2214
Practice Address - Country:US
Practice Address - Phone:608-326-6886
Practice Address - Fax:608-326-4896
Is Sole Proprietor?:No
Enumeration Date:2020-08-08
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1002402-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice