Provider Demographics
NPI:1780067488
Name:HALDIPUR, SHWETA DUBEY (DDS)
Entity type:Individual
Prefix:DR
First Name:SHWETA
Middle Name:DUBEY
Last Name:HALDIPUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SHWETA
Other - Middle Name:
Other - Last Name:DUBEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:100 PALM VALLEY BLVD
Mailing Address - Street 2:APT 3047
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-1092
Mailing Address - Country:US
Mailing Address - Phone:415-889-3639
Mailing Address - Fax:
Practice Address - Street 1:1201 N BELL BLVD STE 102
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7018
Practice Address - Country:US
Practice Address - Phone:512-462-3232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37912122300000X
CA646151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice