Provider Demographics
NPI:1508396995
Name:NAQVI, KASHIF A (DDS)
Entity Type:Individual
Prefix:DR
First Name:KASHIF
Middle Name:A
Last Name:NAQVI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36768 DARTMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3490
Mailing Address - Country:US
Mailing Address - Phone:734-306-0198
Mailing Address - Fax:
Practice Address - Street 1:26750 GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-1529
Practice Address - Country:US
Practice Address - Phone:313-531-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010223141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice