Provider Demographics
NPI:1710025713
Name:NAIK, HEENA A (DDS)
Entity Type:Individual
Prefix:DR
First Name:HEENA
Middle Name:A
Last Name:NAIK
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 1:724 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3839
Mailing Address - Country:US
Mailing Address - Phone:972-777-4042
Mailing Address - Fax:973-777-4042
Practice Address - Street 1:724 GROVE ST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3839
Practice Address - Country:US
Practice Address - Phone:972-777-4042
Practice Address - Fax:973-777-4042
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI-186711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice