Provider Demographics
NPI:1528076494
Name:SHETTY, TRIPTHI (DDS)
Entity type:Individual
Prefix:DR
First Name:TRIPTHI
Middle Name:
Last Name:SHETTY
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 1:577 CRANBURY RD SUITE C-1
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5403
Mailing Address - Country:US
Mailing Address - Phone:732-432-0123
Mailing Address - Fax:732-432-7979
Practice Address - Street 1:577 CRANBURY RD SUITE C-1
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5403
Practice Address - Country:US
Practice Address - Phone:732-432-0123
Practice Address - Fax:732-432-7979
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI215501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice