Provider Demographics
NPI:1831237916
Name:VAKIL, NIKITA (DMD)
Entity type:Individual
Prefix:
First Name:NIKITA
Middle Name:
Last Name:VAKIL
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 1:2300 RICHMOND AVE
Mailing Address - Street 2:APT #421
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3259
Mailing Address - Country:US
Mailing Address - Phone:954-464-0620
Mailing Address - Fax:
Practice Address - Street 1:1213 MAIN ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506-4506
Practice Address - Country:US
Practice Address - Phone:713-473-7198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23857122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist