Provider Demographics
NPI:1821254343
Name:SAJINI SHETTY,DMD DENTAL OFFICES, PC
Entity Type:Organization
Organization Name:SAJINI SHETTY,DMD DENTAL OFFICES, PC
Other - Org Name:DENTAL DESIGNS OF NEW ENGLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAJINI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHETTY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-429-2199
Mailing Address - Street 1:297 DANIEL WEBSTER HWY
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4451
Mailing Address - Country:US
Mailing Address - Phone:603-429-2199
Mailing Address - Fax:603-429-9722
Practice Address - Street 1:297 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4451
Practice Address - Country:US
Practice Address - Phone:603-429-2199
Practice Address - Fax:603-429-9722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3636122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty