Provider Demographics
NPI:1932388436
Name:SETH, ANJALI (DDS)
Entity Type:Individual
Prefix:
First Name:ANJALI
Middle Name:
Last Name:SETH
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 1:200 DOBYS BRIDGE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-2083
Mailing Address - Country:US
Mailing Address - Phone:803-396-5888
Mailing Address - Fax:803-396-5893
Practice Address - Street 1:1224 W. ROOSEVELT BLVD.
Practice Address - Street 2:UNION COUNTY HEALTH DEPT.
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-2820
Practice Address - Country:US
Practice Address - Phone:704-296-4800
Practice Address - Fax:704-296-4807
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC44011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice