Provider Demographics
NPI:1780155820
Name:SANIKOP KORI, PRIYANKA (DDS)
Entity type:Individual
Prefix:DR
First Name:PRIYANKA
Middle Name:
Last Name:SANIKOP KORI
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 1:9259 HOLLANDER AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-2681
Mailing Address - Country:US
Mailing Address - Phone:540-239-6264
Mailing Address - Fax:
Practice Address - Street 1:7460 S RAINBOW BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-6316
Practice Address - Country:US
Practice Address - Phone:702-900-7860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV71321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice