Provider Demographics
NPI:1992842215
Name:NAIR, RESMI P (DMD)
Entity Type:Individual
Prefix:DR
First Name:RESMI
Middle Name:P
Last Name:NAIR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:MA
Mailing Address - Zip Code:01364-1009
Mailing Address - Country:US
Mailing Address - Phone:978-544-3515
Mailing Address - Fax:978-544-2104
Practice Address - Street 1:9 GROVE ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:MA
Practice Address - Zip Code:01364-1009
Practice Address - Country:US
Practice Address - Phone:978-544-3515
Practice Address - Fax:978-544-2104
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX10633OtherBLUE CROSS BLUE SHIELD MA
MA0208795Medicaid
MA922OtherDELTA DENTAL
1790002OtherUNITED CONCORDIA
MA9745939Medicaid