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NPI Code Detail

MEDICARE: NIKET SHETH DDS PC

MEDICARE: NIKET SHETH DDS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry019027089IL

General Provider Information

NPI Number : 1740502863
Entity Type Code : Organization
Provider Name (Legal Business Name) : NIKET SHETH DDS PC
Provider Business Mailing Address
First Line : 6230 S ASHLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60636-2343
Country : US
Telephone Number : 773-776-1113
Fax Number : 773-776-1134
Provider Business Practice Location Address
First Line : 6230 S ASHLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60636-2343
Country : US
Telephone Number : 773-776-1113
Fax Number : 773-776-1134
Authorized Official
Title or Position : OWNER
Name : DR. NIKET SHETH
Credential : DDS
Telephone Number : 630-270-6829
Provider Enumeration Date : 02/16/2010
Last Update Date : 03/31/2015

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Directions to “NIKET SHETH DDS PC ” Practice Location

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