Abhishek Shetty, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40541 Issued in TX

Practice address

681 S Main St
Lumberton, TX 77657-7378

Phone

(409) 227-0254

NPI assigned

Jun 27, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Square PLLC

  • General Practice Dentistry
  • Lumberton, TX
  • NPI 1336556257
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1841035193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 N MAJOR DR APT 222",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777138589",
            "telephone_number": "516-205-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 S MAIN ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577378",
            "telephone_number": "409-227-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "ABHISHEK",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyloa Starre Seaman
• William Tyson Sellers, PT
• Janet Sewell, N.P.
• Shanthi G Reddy MD PA (Dr Shanthi G Reddy)
• Elise Shellenberger, NP
• Christie R Shoemaker, APRN
• Hollie R Sikes, MSN, RN, FNPC
• Gurvinder Singh, PHARMD
• Matthew Smith, PHARM.D.
• Tristine R Smith, LCSW

• General Practice Dentistry in Lumberton, TX
• Providers in Lumberton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.