Active NPI
Bhavit Sheth, DMD
- General Practice Dentistry
- Glassboro, NJ
National Provider Identifier
1316194228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI023879
- Practice address
- 168 William L. Dalton Drive
Glassboro Dentistry LLC
Glassboro, NJ 08028 - Phone
- (856) 956-3625
- Fax
- (856) 956-3619
- NPI assigned
- Aug 21, 2008
- Last updated
- Mar 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI023879 | NJ | Primary |
Addresses
Primary practice location
168 William L. Dalton Drive
Glassboro Dentistry LLC
Glassboro, NJ 08028
Mailing address
168 William L. Dalton Drive
Glassboro Dentistry L.L.C
Glassboro, NJ 08028
Phone (856) 956-3625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI023879 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1316194228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 WILLIAM L. DALTON DRIVE",
"address_2": "GLASSBORO DENTISTRY L.L.C",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "08028",
"telephone_number": "856-956-3625",
"fax_number": "856-956-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 WILLIAM L. DALTON DRIVE",
"address_2": "GLASSBORO DENTISTRY LLC",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "08028",
"telephone_number": "856-956-3625",
"fax_number": "856-956-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETH",
"first_name": "BHAVIT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI023879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.