Provider Demographics
NPI:1912318437
Name:CARIAPPA, SHANTHI (DDS)
Entity Type:Individual
Prefix:
First Name:SHANTHI
Middle Name:
Last Name:CARIAPPA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 S ANGUILLA RD STE 1
Mailing Address - Street 2:
Mailing Address - City:PAWCATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06379-1447
Mailing Address - Country:US
Mailing Address - Phone:860-599-2505
Mailing Address - Fax:
Practice Address - Street 1:20 S ANGUILLA RD STE 1
Practice Address - Street 2:
Practice Address - City:PAWCATUCK
Practice Address - State:CT
Practice Address - Zip Code:06379-1447
Practice Address - Country:US
Practice Address - Phone:860-599-2505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2019-01-28
Deactivation Date:2018-12-04
Deactivation Code:
Reactivation Date:2018-12-11
Provider Licenses
StateLicense IDTaxonomies
RIDEN03217122300000X
CT12125122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist