Individual provider · Type 1 NPI

Shyam Prasad Shivareddy Peta, B.D.S., D.D.S

General Practice Dentistry · Hartford, CT

NPI number 1720391071 Active

Practice location

85 Seymour St, Suite 1018
Hartford, CT 06106-5501

Call (860) 251-6999 Map

Fax (860) 251-6997

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDN19179 (FL)
General Practice Dentistry Primary 1223G0001X10690 (CT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1720391071

Shyam Prasad Shivareddy Peta, B.D.S., D.D.S's National Provider Identifier is 1720391071, issued on Jul 15, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hartford, CT. The record was last updated on Mar 2, 2015.