Provider Demographics
NPI:1497322564
Name:BHADANI, NILU K (DDS)
Entity Type:Individual
Prefix:DR
First Name:NILU
Middle Name:K
Last Name:BHADANI
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 1:3571 RAMSAY ST APT 3D
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9026
Mailing Address - Country:US
Mailing Address - Phone:214-906-4201
Mailing Address - Fax:
Practice Address - Street 1:2380 HICKSWOOD RD
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1458
Practice Address - Country:US
Practice Address - Phone:336-899-8992
Practice Address - Fax:336-860-1599
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2021-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC123631223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program