Provider Demographics
NPI:1336397348
Name:MALHOTRA, NITIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:NITIN
Middle Name:
Last Name:MALHOTRA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8505 E ALAMEDA AVE
Mailing Address - Street 2:APT. 3312
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-5033
Mailing Address - Country:US
Mailing Address - Phone:630-639-7737
Mailing Address - Fax:
Practice Address - Street 1:4222 TRINITY MILLS RD
Practice Address - Street 2:SUITE 250
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7603
Practice Address - Country:US
Practice Address - Phone:214-646-0870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX242391223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics