Provider Demographics
NPI:1760932339
Name:NIMBALKAR, SAYLEE YOGENDRA (MS)
Entity Type:Individual
Prefix:
First Name:SAYLEE
Middle Name:YOGENDRA
Last Name:NIMBALKAR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5422 HIGHWAY 6 STE 101
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3835
Mailing Address - Country:US
Mailing Address - Phone:714-642-2537
Mailing Address - Fax:
Practice Address - Street 1:5422 HIGHWAY 6 STE 101
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3835
Practice Address - Country:US
Practice Address - Phone:281-994-7346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX326781223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics