Provider Demographics
NPI:1578976247
Name:GOGNA, NAINA KAUSHAL (DMD)
Entity Type:Individual
Prefix:DR
First Name:NAINA
Middle Name:KAUSHAL
Last Name:GOGNA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 ROUTE 601
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2102
Mailing Address - Country:US
Mailing Address - Phone:609-874-7474
Mailing Address - Fax:
Practice Address - Street 1:1149 ROUTE 601
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2102
Practice Address - Country:US
Practice Address - Phone:609-874-7474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2024-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02572100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist