Provider Demographics
NPI:1699046193
Name:TADI, NORA (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORA
Middle Name:
Last Name:TADI
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 1:2701 LITTLE ELM PKWY # 100491
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-6672
Mailing Address - Country:US
Mailing Address - Phone:949-400-3875
Mailing Address - Fax:
Practice Address - Street 1:2701 LITTLE ELM PKWY # 100491
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-6672
Practice Address - Country:US
Practice Address - Phone:949-400-3875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-16
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX276401223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice