Provider Demographics
NPI:1689839094
Name:BHATIA, NIDHI (DDS)
Entity Type:Individual
Prefix:DR
First Name:NIDHI
Middle Name:
Last Name:BHATIA
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 1:2 SPLIT ROCK RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:CHERRY HILL NJ
Mailing Address - State:NJ
Mailing Address - Zip Code:08003
Mailing Address - Country:US
Mailing Address - Phone:856-424-3335
Mailing Address - Fax:856-424-3335
Practice Address - Street 1:2 SPLIT ROCK RD
Practice Address - Street 2:SUITE 10
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003
Practice Address - Country:US
Practice Address - Phone:856-424-3335
Practice Address - Fax:856-424-3335
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037466122300000X
NJD102485122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist