Provider Demographics
NPI:1689802589
Name:DOSHI, MILAN JAGDISH (DMD)
Entity Type:Individual
Prefix:DR
First Name:MILAN
Middle Name:JAGDISH
Last Name:DOSHI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 S SPRING RD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3858
Mailing Address - Country:US
Mailing Address - Phone:630-279-4739
Mailing Address - Fax:630-279-9749
Practice Address - Street 1:488 S SPRING RD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3858
Practice Address - Country:US
Practice Address - Phone:630-279-4739
Practice Address - Fax:630-279-9749
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL021.0025721223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics