Active NPIIndividual providerSole proprietor

Dr. Praveena Seetharam Shetty, DMD

Dentist in Lynn, Massachusetts

NPI Number1669788584
Practice location
160 Market St, Lynn, MA 01901-1529
Fax
—
Last updated
August 30, 2010

Praveena Seetharam Shetty is a Dentist based in Lynn, MA. Praveena Seetharam Shetty practices in Lynn, MA and has the professional credentials of DMD. The NPI Number for Praveena Seetharam Shetty is 1669788584 and holds a License No. DN1855480 (MA). The current practice location address for Praveena Seetharam Shetty is 160 Market St, Lynn, MA 01901-1529 and can be reached out via phone at 781-593-1133.

Provider Profile Details

NPI Number
1669788584
Provider Name
Praveena Seetharam Shetty
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
160 Market St, Lynn, MA 01901-1529
Phone Number
781-593-1133
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2010
Last Update Date
August 30, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Market St
Lynn, MA 01901-1529
City
Lynn
Zip
01901-1529
Phone Number
781-593-1133
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
160 Market St
Lynn, MA 01901-1529
City
Lynn
State
MA
Zip
01901-1529
Phone Number
781-593-1133

License Information

License Number
DN1855480
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Praveena Seetharam Shetty, DMD?

The NPI number of Dr. Praveena Seetharam Shetty, DMD is 1669788584. It was assigned on August 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Praveena Seetharam Shetty, DMD?

Dr. Praveena Seetharam Shetty, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1855480.

Where does Dr. Praveena Seetharam Shetty, DMD practice?

The practice location is 160 Market St, Lynn, MA 01901-1529. The office can be reached at 781-593-1133 (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 1669788584 directly on the NPPES registry website.

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