Provider Demographics
NPI:1518420793
Name:SAITH, SHIVANI MARGUERITE (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:SHIVANI
Middle Name:MARGUERITE
Last Name:SAITH
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 E 36TH ST STE 1204
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3368
Mailing Address - Country:US
Mailing Address - Phone:269-217-7983
Mailing Address - Fax:
Practice Address - Street 1:188 SUMMERFIELD ST
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5479
Practice Address - Country:US
Practice Address - Phone:914-472-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-13
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062995011223P0221X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program