Provider Demographics
NPI:1891270021
Name:NAKHAIE, NILO (DDS)
Entity Type:Individual
Prefix:DR
First Name:NILO
Middle Name:
Last Name:NAKHAIE
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 1:6210 CAMPBELL RD STE 150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1380
Mailing Address - Country:US
Mailing Address - Phone:972-818-2244
Mailing Address - Fax:
Practice Address - Street 1:6210 CAMPBELL RD STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1380
Practice Address - Country:US
Practice Address - Phone:972-818-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-03
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34667122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist