Provider Demographics
NPI:1487063368
Name:SHETH, MEHA (DMD)
Entity type:Individual
Prefix:DR
First Name:MEHA
Middle Name:
Last Name:SHETH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 BRADFORD LN
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-2326
Mailing Address - Country:US
Mailing Address - Phone:609-468-0750
Mailing Address - Fax:
Practice Address - Street 1:80 BRADFORD LN
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-2326
Practice Address - Country:US
Practice Address - Phone:609-468-0750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02572700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist