Individual provider · Type 1 NPI

Shelly Taylor-Soetan, DMD

Periodontics · Bronx, NY

NPI number 1508224155 Active

Practice location

1894 Walton Ave
Bronx, NY 10453-6018

Call (718) 583-2700 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry 1223G0001XDN 22291 (FL)
Dentist 122300000XDN1858222 (MA)
Periodontics Primary 1223P0300X062433-01 (NY)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

43 other providers at this address

Other periodontics providers in Bronx

See all in Bronx →

About NPI 1508224155

Shelly Taylor-Soetan, DMD's National Provider Identifier is 1508224155, issued on Feb 10, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Bronx, NY. The record was last updated on Oct 9, 2025.