Provider Demographics
NPI:1104517341
Name:GOLI, NIKHILA DEVI (DDS)
Entity type:Individual
Prefix:
First Name:NIKHILA DEVI
Middle Name:
Last Name:GOLI
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 1:20761 DUNHILL DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-8525
Mailing Address - Country:US
Mailing Address - Phone:248-606-2368
Mailing Address - Fax:
Practice Address - Street 1:165 S MILFORD RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-2758
Practice Address - Country:US
Practice Address - Phone:248-717-2944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI290-160-18391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice