Provider Demographics
NPI:1568504132
Name:ZAVERI, NEHAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEHAL
Middle Name:
Last Name:ZAVERI
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 1:1113 ALTA AVE
Mailing Address - Street 2:205
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-2800
Mailing Address - Country:US
Mailing Address - Phone:909-786-5331
Mailing Address - Fax:
Practice Address - Street 1:1113 ALTA AVE
Practice Address - Street 2:205
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-2800
Practice Address - Country:US
Practice Address - Phone:909-985-6116
Practice Address - Fax:909-985-6226
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53305122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA53305CAOtherDELTA DENTAL INS. COMPANY