Provider Demographics
NPI:1548601206
Name:SETH, SHILPI (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHILPI
Middle Name:
Last Name:SETH
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 1:525 NELSON RISING LN
Mailing Address - Street 2:APT 815
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2292
Mailing Address - Country:US
Mailing Address - Phone:415-225-6070
Mailing Address - Fax:
Practice Address - Street 1:3291 STANFORD RANCH RD STE 102
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-5577
Practice Address - Country:US
Practice Address - Phone:415-225-6070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA625351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
62535OtherLICENSE NUMBER