Provider Demographics
NPI:1598923922
Name:NAKASH, SHIRLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:
Last Name:NAKASH
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 1:155 S RAWLES ST
Mailing Address - Street 2:
Mailing Address - City:ROMEO
Mailing Address - State:MI
Mailing Address - Zip Code:48065-5149
Mailing Address - Country:US
Mailing Address - Phone:313-916-3700
Mailing Address - Fax:
Practice Address - Street 1:155 S RAWLES ST
Practice Address - Street 2:
Practice Address - City:ROMEO
Practice Address - State:MI
Practice Address - Zip Code:48065-5149
Practice Address - Country:US
Practice Address - Phone:586-752-4560
Practice Address - Fax:586-752-0895
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019674122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist