Provider Demographics
NPI:1912928474
Name:SETTY, LAKSHMAN P (BDS)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMAN
Middle Name:P
Last Name:SETTY
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HORSESHOE LN
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-4271
Mailing Address - Country:US
Mailing Address - Phone:215-855-8503
Mailing Address - Fax:215-855-6236
Practice Address - Street 1:100 HORSESHOE LN
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-4271
Practice Address - Country:US
Practice Address - Phone:215-855-8503
Practice Address - Fax:215-855-6236
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020619L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice