Sathvik Begur Seshadri
Individual provider Active NPI Dentist · Westport, MA
NPI 1972865624 · NPPES record last updated Jun 19, 2014
Key facts
- NPI
- 1972865624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN1856007 (MA)
- Practice address
- 708 Sanford Rd
Westport, MA 02790-4038 - Phone
- (508) 675-0561
- NPI assigned
- Jun 8, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856007 | MA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1856007 | MA | Yes |
Addresses
Primary practice location
708 Sanford Rd
Westport, MA 02790-4038
Mailing address
708 Sanford Rd
Westport, MA 02790-4038
Phone (508) 675-0561
Other providers in Westport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2014. 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.