National Provider Identifier

Stewart Shabanaj, DDS

Stewart Shabanaj, DDS is listed in the NPPES registry with a primary specialty of Dentist in Lakewood, NY and a listed phone number of (716) 206-3424.

NPI 1366142358Lakewood, NYDentist

Profile Overview

NPI
1366142358
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
March 08, 2023
Last Updated
November 18, 2025

Practice Location

  • 386 E Fairmount Ave
  • Lakewood, NY 14750-2130

Phone: (716) 206-3424

Mailing Address

  • 3495 Bailey Ave
  • Buffalo, NY 14215-1129

Specialties

  • Dentist (122300000X)
  • Dentist (122300000X)
Full Record
NPI
1366142358
Entity Type
Individual
Last Name
Shabanaj
First Name
Stewart
Credential
DDS
Mailing Street Address
3495 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1129
Mailing Country
US
Practice Street Address
386 E Fairmount Ave
Practice City
Lakewood
Practice State
NY
Practice ZIP Code
14750-2130
Practice Country
US
Practice Phone
(716) 206-3424
Enumeration Date
March 08, 2023
Last Updated
November 18, 2025
Sex
Male
Sole Proprietor
No
Certification Date
November 18, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X), Dentist (122300000X)