Provider Demographics
NPI:1629449897
Name:PINGLE, SNEHAL (DMD)
Entity Type:Individual
Prefix:DR
First Name:SNEHAL
Middle Name:
Last Name:PINGLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1549
Mailing Address - Country:US
Mailing Address - Phone:978-837-4444
Mailing Address - Fax:
Practice Address - Street 1:234 ESSEX ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1549
Practice Address - Country:US
Practice Address - Phone:978-837-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1001222122300000X
MADN1857751122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist