Provider Demographics
NPI:1629719042
Name:SKYVIEW DENTAL
Entity Type:Organization
Organization Name:SKYVIEW DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FARHEEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:PASHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-661-0118
Mailing Address - Street 1:350 WESTFIELD RD STE 220
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1628
Mailing Address - Country:US
Mailing Address - Phone:714-661-0118
Mailing Address - Fax:
Practice Address - Street 1:350 WESTFIELD RD STE 220
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1628
Practice Address - Country:US
Practice Address - Phone:714-661-0118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN12013471AOtherDENTIST