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Dr. Shyam Prasad Shivareddy Peta, BDS,DDS
General Practice Dentistry in Hartford, Connecticut
NPI 1720391071

Shyam Prasad Shivareddy Peta is a General Practice Dentistry based in Hartford, CT and is specialized in General Practice. Shyam Prasad Shivareddy Peta practices in Hartford, CT and has the professional credentials of BDS,DDS. The NPI Number for Shyam Prasad Shivareddy Peta is 1720391071 and holds a License No. DN19179 (Connecticut).

The current practice location address for Shyam Prasad Shivareddy Peta is 85 Seymour St, Hartford, CT and can be reached out via phone at 860-251-6999 and via fax at 860-251-6997.

Location: 85 Seymour St, Hartford, CT, 06106-5501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720391071
Provider Name
Shyam Prasad Shivareddy Peta
Credential
BDS,DDS
Provider Entity Type
Individual
Gender
Male
Address
85 Seymour St, Hartford, CT, 06106-5501
Phone Number
860-251-6999
Fax Number
860-251-6997
Provider Enumeration Date
07/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
85 Seymour St
City
Hartford
State
Connecticut
Zip
06106-5501
Phone Number
860-251-6999
Fax Number
860-251-6997
person
Provider Business Mailing Address Details
Address
85 Seymour St
City
Hartford
State
Connecticut
Zip
06106-5501
Phone Number
860-251-6999
Fax Number
860-251-6997
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN19179 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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