Provider Demographics
NPI:1003151432
Name:NAIK, SNEHA BAKULESH (DDS)
Entity Type:Individual
Prefix:DR
First Name:SNEHA
Middle Name:BAKULESH
Last Name:NAIK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 S MICHIGAN AVE
Mailing Address - Street 2:APT 2911
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3286
Mailing Address - Country:US
Mailing Address - Phone:919-272-4030
Mailing Address - Fax:
Practice Address - Street 1:1255 S MICHIGAN AVE
Practice Address - Street 2:APT 2911
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-3286
Practice Address - Country:US
Practice Address - Phone:919-272-4030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019029639122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist