Provider Demographics
NPI:1417501321
Name:NAMSHEEL DENTAL PLLC
Entity Type:Organization
Organization Name:NAMSHEEL DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKHWANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-351-9110
Mailing Address - Street 1:1011 N HIGHWAY 77 STE 105
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1798
Mailing Address - Country:US
Mailing Address - Phone:972-351-9110
Mailing Address - Fax:
Practice Address - Street 1:1011 N HIGHWAY 77 STE 105
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1798
Practice Address - Country:US
Practice Address - Phone:972-351-9110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty