Provider Demographics
NPI:1891846275
Name:NAIK, ANUP M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANUP
Middle Name:M
Last Name:NAIK
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 1:975 W JOHN CARPENTER FWY
Mailing Address - Street 2:SUITE #115
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2502
Mailing Address - Country:US
Mailing Address - Phone:972-556-1172
Mailing Address - Fax:972-556-1949
Practice Address - Street 1:975 W JOHN CARPENTER FWY
Practice Address - Street 2:SUITE #115
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2502
Practice Address - Country:US
Practice Address - Phone:972-556-1172
Practice Address - Fax:972-556-1949
Is Sole Proprietor?:No
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice