Provider Demographics
NPI:1699109405
Name:TAWDE, SHWETA A (BDS,MSD)
Entity type:Individual
Prefix:
First Name:SHWETA
Middle Name:A
Last Name:TAWDE
Suffix:
Gender:F
Credentials:BDS,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22522 SAIL HARBOUR CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8061
Mailing Address - Country:US
Mailing Address - Phone:832-437-4163
Mailing Address - Fax:
Practice Address - Street 1:11007 JONES RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-6301
Practice Address - Country:US
Practice Address - Phone:281-894-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29256122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist