Provider Demographics
NPI:1376843730
Name:NAIK DENTAL P.A.
Entity Type:Organization
Organization Name:NAIK DENTAL P.A.
Other - Org Name:UNIVERSITY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHISH
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-904-0672
Mailing Address - Street 1:2309 BERWICK DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-2615
Mailing Address - Country:US
Mailing Address - Phone:281-748-8819
Mailing Address - Fax:512-904-0699
Practice Address - Street 1:200 UNIVERSITY BLVD
Practice Address - Street 2:SUITE #340
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1001
Practice Address - Country:US
Practice Address - Phone:512-904-0672
Practice Address - Fax:512-904-0699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX22259122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty