Provider Demographics
NPI:1851907760
Name:NAKASH DENTAL GROUP PLLC
Entity Type:Organization
Organization Name:NAKASH DENTAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-752-4560
Mailing Address - Street 1:155 S RAWLES ST
Mailing Address - Street 2:
Mailing Address - City:ROMEO
Mailing Address - State:MI
Mailing Address - Zip Code:48065-5149
Mailing Address - Country:US
Mailing Address - Phone:586-752-4560
Mailing Address - Fax:
Practice Address - Street 1:155 S RAWLES ST
Practice Address - Street 2:
Practice Address - City:ROMEO
Practice Address - State:MI
Practice Address - Zip Code:48065-5149
Practice Address - Country:US
Practice Address - Phone:586-752-4560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental