Provider Demographics
NPI:1801362538
Name:DR RAJAN K SHETH DDS LLC
Entity Type:Organization
Organization Name:DR RAJAN K SHETH DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TREINEN
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:614-350-7446
Mailing Address - Street 1:2245 W DUBLIN GRANVILLE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3336
Mailing Address - Country:US
Mailing Address - Phone:614-350-7446
Mailing Address - Fax:
Practice Address - Street 1:2245 W DUBLIN GRANVILLE RD STE 106
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3336
Practice Address - Country:US
Practice Address - Phone:614-350-7446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-20
Last Update Date:2018-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH30.024751OtherDENTAL LICENSE NUMBER
OH30.023260OtherDENTAL LICENSE NUMBER
OH30.024229OtherDENTAL LICENSE NUMBER