Provider Demographics
NPI:1023192457
Name:HIMI SAXENA DDS PA
Entity Type:Organization
Organization Name:HIMI SAXENA DDS PA
Other - Org Name:HIMI SAXENA DDS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HIMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAXENA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-229-1444
Mailing Address - Street 1:2903 PROFESSIONAL PARK RD
Mailing Address - Street 2:STE A
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9388
Mailing Address - Country:US
Mailing Address - Phone:336-229-1444
Mailing Address - Fax:336-222-8180
Practice Address - Street 1:2903 PROFESSIONAL PARK RD
Practice Address - Street 2:STE A
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9388
Practice Address - Country:US
Practice Address - Phone:336-229-1444
Practice Address - Fax:336-222-8180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC68751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty