Provider Demographics
NPI:1821240730
Name:SHETH, SNEHAL A I (DDS)
Entity Type:Individual
Prefix:DR
First Name:SNEHAL
Middle Name:A
Last Name:SHETH
Suffix:I
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 1:16 OLIVE CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-1924
Mailing Address - Country:US
Mailing Address - Phone:631-334-6584
Mailing Address - Fax:
Practice Address - Street 1:16 OLIVE CT
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-1924
Practice Address - Country:US
Practice Address - Phone:631-334-6584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0540691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice