National Provider Identifier

Tejal Vinod Shastri, D.D.S.

Tejal Vinod Shastri, D.D.S. is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 275-5688.

NPI 1215118591Rochester, NYDentist

Profile Overview

NPI
1215118591
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
November 15, 2007
Last Updated
August 19, 2016

Practice Location

  • 625 Elmwood Ave
  • Box 683
  • Rochester, NY 14620-2913

Phone: (585) 275-5688

Mailing Address

  • 176 Kingsberry Dr
  • Apt. A
  • Rochester, NY 14626-2220

Specialties

  • Dentist (122300000X)
Full Record
NPI
1215118591
Entity Type
Individual
Last Name
Shastri
First Name
Tejal
Middle Name
Vinod
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
176 Kingsberry Dr
Mailing Address Line 2
Apt. A
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-2220
Mailing Country
US
Mailing Phone
(414) 803-0020
Practice Street Address
625 Elmwood Ave
Practice Address Line 2
Box 683
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2913
Practice Country
US
Practice Phone
(585) 275-5688
Enumeration Date
November 15, 2007
Last Updated
August 19, 2016
Sex
Female
Sole Proprietor
No
Taxonomies
Dentist (122300000X)