Provider Demographics
NPI:1417148339
Name:SAMIR J. NAIK, DDS, PLLC
Entity Type:Organization
Organization Name:SAMIR J. NAIK, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:571-331-6962
Mailing Address - Street 1:987 EAST ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-8858
Mailing Address - Country:US
Mailing Address - Phone:919-545-9500
Mailing Address - Fax:
Practice Address - Street 1:987 EAST ST
Practice Address - Street 2:SUITE H
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-8858
Practice Address - Country:US
Practice Address - Phone:919-545-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9478122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty