Provider Demographics
NPI:1225579998
Name:AKASH M. AGHERA, DMD, PLLC
Entity Type:Organization
Organization Name:AKASH M. AGHERA, DMD, PLLC
Other - Org Name:BRIDGEHAMPTON DENTAL
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AKASH
Authorized Official - Middle Name:MOHANLAL
Authorized Official - Last Name:AGHERA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-421-8958
Mailing Address - Street 1:17231 WESTMILL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3154
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16928 LANCASTER HWY
Practice Address - Street 2:UNIT 101
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2016
Practice Address - Country:US
Practice Address - Phone:980-299-0110
Practice Address - Fax:888-971-3858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty