Healthcare Provider Details

I. General information

NPI: 1952167280
Provider Name (Legal Business Name): TRUPTI PRASHANT SHINDE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 E ALVIN DR STE J2
SALINAS CA
93906-3056
US

IV. Provider business mailing address

22708 MANOLETE DR
SALINAS CA
93908-1112
US

V. Phone/Fax

Practice location:
  • Phone: 831-771-0198
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number109902
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: