Provider Demographics
NPI:1831840487
Name:SHINDE, DIPTI RAMLING (DDS, BDS)
Entity type:Individual
Prefix:DR
First Name:DIPTI
Middle Name:RAMLING
Last Name:SHINDE
Suffix:
Gender:F
Credentials:DDS, BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 S SHORE CTR
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-8043
Mailing Address - Country:US
Mailing Address - Phone:510-214-0253
Mailing Address - Fax:
Practice Address - Street 1:20483 HESPERIAN BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4705
Practice Address - Country:US
Practice Address - Phone:510-731-0124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS107241122300000X
CA1072411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice