Provider Demographics
NPI:1033682018
Name:NAINA MAHALE DDS PLLC
Entity Type:Organization
Organization Name:NAINA MAHALE DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAINA
Authorized Official - Middle Name:ADIT
Authorized Official - Last Name:MAHALE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-843-2888
Mailing Address - Street 1:8418 NEW TOWN RD
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-8302
Mailing Address - Country:US
Mailing Address - Phone:704-843-2880
Mailing Address - Fax:
Practice Address - Street 1:8418 NEW TOWN RD
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-8302
Practice Address - Country:US
Practice Address - Phone:704-843-2880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental