Provider Demographics
NPI:1083111421
Name:MALHAN, NIKHIL (DMD)
Entity Type:Individual
Prefix:
First Name:NIKHIL
Middle Name:
Last Name:MALHAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 STALLION PL
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-7865
Mailing Address - Country:US
Mailing Address - Phone:509-438-8981
Mailing Address - Fax:
Practice Address - Street 1:2219 RIMLAND DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8660
Practice Address - Country:US
Practice Address - Phone:360-966-8354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE609532081223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty