Provider Demographics
NPI:1497844807
Name:NATHI, LAKSHMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:
Last Name:NATHI
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 1:2 LYLE FARM LN
Mailing Address - Street 2:
Mailing Address - City:MILLSTONE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-9304
Mailing Address - Country:US
Mailing Address - Phone:732-446-0566
Mailing Address - Fax:
Practice Address - Street 1:3700 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2529
Practice Address - Country:US
Practice Address - Phone:201-866-3737
Practice Address - Fax:201-866-6266
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0217921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice