Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelly Taylor-Soetan, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508224155

Shelly Taylor-Soetan, DMD is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Practices as a sole proprietor. Licensed in Florida, Massachusetts and New York.

Licensed in
FL, MA, NY
In the registry since
2016
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1894 Walton Ave
Bronx, NY 10453-6018
Phone: (718) 583-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 062433-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence DN 22291 (FL)
Dentist Taxonomy 122300000X · Licence DN1858222 (MA)

Record details

NPI number1508224155
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 10, 2016
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

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