Provider Demographics
NPI:1770081606
Name:NG ENTERPRISES PLLC
Entity type:Organization
Organization Name:NG ENTERPRISES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NADARAJAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GANESHKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-296-0503
Mailing Address - Street 1:10 WALTERS WAY
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4590
Mailing Address - Country:US
Mailing Address - Phone:781-296-0503
Mailing Address - Fax:
Practice Address - Street 1:750 CENTRAL AVE STE K
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3434
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH034111223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty