Provider Demographics
NPI:1811205800
Name:KELKAR, SHILPA (DMD)
Entity Type:Individual
Prefix:
First Name:SHILPA
Middle Name:
Last Name:KELKAR
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 1:13870 BADGER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0494
Mailing Address - Country:US
Mailing Address - Phone:214-235-3038
Mailing Address - Fax:
Practice Address - Street 1:5285 INDEPENDENCE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4642
Practice Address - Country:US
Practice Address - Phone:972-464-1124
Practice Address - Fax:972-362-1120
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD9507122300000X
WADE60169364122300000X
KS60747122300000X
MO2011008849122300000X
TX35882122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist