Provider Demographics
NPI:1003027848
Name:GOKHALE, SHEETAL S (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHEETAL
Middle Name:S
Last Name:GOKHALE
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 1:697 E REMINGTON DR STE B
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1941
Mailing Address - Country:US
Mailing Address - Phone:408-245-0600
Mailing Address - Fax:408-245-0047
Practice Address - Street 1:697 E REMINGTON DR STE B
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1941
Practice Address - Country:US
Practice Address - Phone:408-245-0600
Practice Address - Fax:408-245-0047
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA456941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA651579OtherUNITED CONCORDIA