Provider Demographics
NPI:1558559302
Name:NAGAR, RITU SETHI (DMD)
Entity Type:Individual
Prefix:DR
First Name:RITU
Middle Name:SETHI
Last Name:NAGAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:RITU
Other - Middle Name:
Other - Last Name:SETHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1010 GARDEN CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-1014
Mailing Address - Country:US
Mailing Address - Phone:412-848-9007
Mailing Address - Fax:
Practice Address - Street 1:6625 HIGHWAY 53 E STE 440
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-8010
Practice Address - Country:US
Practice Address - Phone:706-265-0005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0135901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice