Provider Demographics
NPI:1417090390
Name:SATPUTE, NEEL SATISH (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEEL
Middle Name:SATISH
Last Name:SATPUTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:NEEL
Other - Middle Name:SATISH
Other - Last Name:SATPUTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2700 QUARRY LAKE DR
Mailing Address - Street 2:SUITE 190
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3742
Mailing Address - Country:US
Mailing Address - Phone:410-484-4401
Mailing Address - Fax:
Practice Address - Street 1:2700 QUARRY LAKE DR
Practice Address - Street 2:SUITE 190
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3742
Practice Address - Country:US
Practice Address - Phone:410-484-4401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA486751223P0221X
MDDS0356891223P0221X
MD139571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry