Provider Demographics
NPI:1356586812
Name:APTE, SHRADDHA PENDSE (DDS)
Entity type:Individual
Prefix:DR
First Name:SHRADDHA
Middle Name:PENDSE
Last Name:APTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9629 HARVEST POND DR NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-3335
Mailing Address - Country:US
Mailing Address - Phone:916-832-6036
Mailing Address - Fax:
Practice Address - Street 1:10009 PARK CEDAR DR
Practice Address - Street 2:SUITE # 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8920
Practice Address - Country:US
Practice Address - Phone:704-541-5059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2015-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92711223G0001X
CA562801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice