Individual
DR. SHIVANI KIRIT DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
411 BILLINGSLEY RD STE 106, CHARLOTTE, NC 28211-1066
(704) 397-4205
Mailing address
1315 HARDING PL APT 303, CHARLOTTE, NC 28204-3539
(804) 514-7812
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12962
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2020
Last updated
08/11/2022
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