Provider Demographics
NPI:1841585395
Name:JAIN, SHILPI (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHILPI
Middle Name:
Last Name:JAIN
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 1:45,EAST NEWTON STREET
Mailing Address - Street 2:APT#315
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:617-933-9053
Mailing Address - Fax:
Practice Address - Street 1:45 E NEWTON ST
Practice Address - Street 2:APT#315
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4802
Practice Address - Country:US
Practice Address - Phone:617-933-9053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1855693122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist