Provider Demographics
NPI:1649445057
Name:HEIR, NIMRAT K (DDS)
Entity type:Individual
Prefix:
First Name:NIMRAT
Middle Name:K
Last Name:HEIR
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 1:3645 NORTHGATE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1641
Mailing Address - Country:US
Mailing Address - Phone:916-286-7774
Mailing Address - Fax:916-286-7786
Practice Address - Street 1:3645 NORTHGATE BLVD STE A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-1641
Practice Address - Country:US
Practice Address - Phone:916-286-7774
Practice Address - Fax:916-286-7786
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA566081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics