Dr. Keerthi Shetty Vittal, DDS
Dentist, General Practice in Bergenfield, New Jersey
1295180933- Practice location
- 359 S Washington Ave, Bergenfield, NJ 07621-4311
- Phone
- 201-385-2500
- Fax
- —
- Last updated
- March 17, 2018
Keerthi Shetty Vittal is a Dentist, General Practice based in Bergenfield, NJ. Keerthi Shetty Vittal practices in Bergenfield, NJ and has the professional credentials of DDS. The NPI Number for Keerthi Shetty Vittal is 1295180933 and holds a License No. 22D102615500 (NJ). The current practice location address for Keerthi Shetty Vittal is 359 S Washington Ave, Bergenfield, NJ 07621-4311 and can be reached out via phone at 201-385-2500.
Provider Profile Details
- NPI Number
- 1295180933
- Provider Name
- Keerthi Shetty Vittal
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 359 S Washington Ave, Bergenfield, NJ 07621-4311
- Phone Number
- 201-385-2500
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2016
- Last Update Date
- March 17, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 359 S Washington Ave
Bergenfield, NJ 07621-4311 - City
- Bergenfield
- State
- New Jersey
- Zip
- 07621-4311
- Phone Number
- 201-385-2500
Provider Business Mailing Address Details
- Address
- 675 Handwerg Dr
River Vale, NJ 07675-6410 - City
- River Vale
- State
- NJ
- Zip
- 07675-6410
- Phone Number
- 201-783-9889
License Information
- License Number
- 22D102615500
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Keerthi Shetty Vittal, DDS?
The NPI number of Dr. Keerthi Shetty Vittal, DDS is 1295180933. It was assigned on May 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Keerthi Shetty Vittal, DDS?
Dr. Keerthi Shetty Vittal, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22D102615500.
Where does Dr. Keerthi Shetty Vittal, DDS practice?
The practice location is 359 S Washington Ave, Bergenfield, NJ 07621-4311. The office can be reached at 201-385-2500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295180933 directly on the NPPES registry website.