Provider Demographics
NPI:1932234200
Name:KAINTH, NEETU (DMD)
Entity Type:Individual
Prefix:
First Name:NEETU
Middle Name:
Last Name:KAINTH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:795 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-2036
Mailing Address - Country:US
Mailing Address - Phone:401-781-2212
Mailing Address - Fax:401-461-3408
Practice Address - Street 1:795 PARK AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-2036
Practice Address - Country:US
Practice Address - Phone:401-781-2212
Practice Address - Fax:401-461-3408
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice