Provider Demographics
NPI:1881820611
Name:KAPADIA, NISHIT (DDS)
Entity Type:Individual
Prefix:DR
First Name:NISHIT
Middle Name:
Last Name:KAPADIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 W CAMPBELL RD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2971
Mailing Address - Country:US
Mailing Address - Phone:972-889-2166
Mailing Address - Fax:972-889-3819
Practice Address - Street 1:1251 W CAMPBELL RD
Practice Address - Street 2:SUITE #200
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2971
Practice Address - Country:US
Practice Address - Phone:972-889-2166
Practice Address - Fax:972-889-3819
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice