Provider Demographics
NPI:1861970154
Name:GODHANI, HITESH KANUBHAI (DDS)
Entity type:Individual
Prefix:DR
First Name:HITESH
Middle Name:KANUBHAI
Last Name:GODHANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E ETTWEIN ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-4130
Mailing Address - Country:US
Mailing Address - Phone:610-849-2042
Mailing Address - Fax:
Practice Address - Street 1:315 E ETTWEIN ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-4130
Practice Address - Country:US
Practice Address - Phone:610-849-2042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS041902122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist