Provider Demographics
NPI:1851642672
Name:CHOVATIA, SHILPI PATEL (DDS)
Entity type:Individual
Prefix:
First Name:SHILPI
Middle Name:PATEL
Last Name:CHOVATIA
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 1:844 CASTLEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-9718
Mailing Address - Country:US
Mailing Address - Phone:510-449-3955
Mailing Address - Fax:
Practice Address - Street 1:525 BOLLINGER CANYON WAY STE 105
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94582-4935
Practice Address - Country:US
Practice Address - Phone:925-735-3838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61781122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist