Swati Agnihotri
Individual provider Active NPI Dentist · Bethlehem, PA
NPI 1669901476 · NPPES record last updated Nov 15, 2017
Key facts
- NPI
- 1669901476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS041554 (PA)
- Practice address
- 511 E. 3Rd Street Fowler BLDG
Suite 301
Bethlehem, PA 18015 - Phone
- (484) 526-2460
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS041554 | PA | Yes |
Addresses
Primary practice location
511 E. 3Rd Street Fowler BLDG
Suite 301
Bethlehem, PA 18015
Mailing address
511 E. 3Rd Street Fowler BLDG
Suite 301
Bethlehem, Pennsylvania, PA 18015
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.