# DR. KALPAKAM A SHASTRI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225106446
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DEN1000938 | DC | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 20253 | MA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DEN1000938 | DC | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 04/13/2015