Provider Demographics
NPI:1629412697
Name:HAPPY SAPIENS DENTAL PC
Entity Type:Organization
Organization Name:HAPPY SAPIENS DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAULIK
Authorized Official - Middle Name:
Authorized Official - Last Name:NANAVATI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-701-4112
Mailing Address - Street 1:32030 SUITE 1 DECKER PRAIRIE ROAD
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:TX
Mailing Address - Zip Code:77362
Mailing Address - Country:US
Mailing Address - Phone:630-701-4112
Mailing Address - Fax:
Practice Address - Street 1:27631 DECKER PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:TX
Practice Address - Zip Code:77362-4157
Practice Address - Country:US
Practice Address - Phone:281-356-3351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27308122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty