Provider Demographics
NPI:1013209410
Name:GREENWICH SETHI DENTAL LLC
Entity type:Organization
Organization Name:GREENWICH SETHI DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANGEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SETHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-861-7336
Mailing Address - Street 1:5 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5211
Mailing Address - Country:US
Mailing Address - Phone:203-861-7336
Mailing Address - Fax:203-661-9540
Practice Address - Street 1:5 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5211
Practice Address - Country:US
Practice Address - Phone:203-861-7336
Practice Address - Fax:203-661-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0088581223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty