Healthcare Provider Details

I. General information

NPI: 1447113360
Provider Name (Legal Business Name): SHWETA KOKATE DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9094 PROGRESS BLVD
RIVERVIEW FL
33578-4886
US

IV. Provider business mailing address

9094 PROGRESS BLVD
RIVERVIEW FL
33578-4886
US

V. Phone/Fax

Practice location:
  • Phone: 813-358-1368
  • Fax: 813-358-5567
Mailing address:
  • Phone: 813-358-1368
  • Fax: 813-358-5567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHWETA KOKATE
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 202-460-0290