Provider Demographics
NPI:1043385073
Name:SHINDE, DEEPAK V (DMD)
Entity Type:Individual
Prefix:
First Name:DEEPAK
Middle Name:V
Last Name:SHINDE
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 1:123 NORTH HAMPTON ST
Mailing Address - Street 2:APT 3E
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:517-372-4903
Mailing Address - Fax:
Practice Address - Street 1:2 CELLU DRIVE SUITE #107
Practice Address - Street 2:ALLCARE DENTAL
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063
Practice Address - Country:US
Practice Address - Phone:603-595-4200
Practice Address - Fax:603-689-7150
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03532122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist