# MODERN DENTAL STUDIO, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790805281
- **Authorized official:** DR. TRIPTHI SHETTY D.D.S. (PRESIDENT)
- **Authorized official phone:** (732) 432-0123

## Contact information

- **Practice address:** 577 CRANBURY RD SUITE C-1, EAST BRUNSWICK, NJ 08816-5403
- **Practice address phone:** (732) 432-0123
- **Practice address fax:** (732) 432-7979
- **Mailing address:** 577 CRANBURY RD SUITE C-1, EAST BRUNSWICK, NJ 08816-5403
- **Mailing address phone:** (732) 432-0123
- **Mailing address fax:** (732) 432-7979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 11/07/2023