Healthcare Provider Details

I. General information

NPI: 1639295736
Provider Name (Legal Business Name): SETHI DENTAL CONSULTATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 SAW MILL RIVER RD SUITE 201
ARDSLEY NY
10502-1045
US

IV. Provider business mailing address

1055 SAW MILL RIVER RD SUITE 201
ARDSLEY NY
10502-1045
US

V. Phone/Fax

Practice location:
  • Phone: 914-693-7570
  • Fax: 914-693-7793
Mailing address:
  • Phone: 914-693-7570
  • Fax: 914-693-7793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number044051-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SANGEETA SETHI
Title or Position: OWNER
Credential: DDS
Phone: 914-693-7570