Provider Demographics
NPI:1912750399
Name:NIMRAT HEIR DDS INC
Entity Type:Organization
Organization Name:NIMRAT HEIR DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NIMRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-306-7300
Mailing Address - Street 1:10572 MERCADO CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-1803
Mailing Address - Country:US
Mailing Address - Phone:609-306-7300
Mailing Address - Fax:
Practice Address - Street 1:9340 W STOCKTON BLVD STE 110
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-8014
Practice Address - Country:US
Practice Address - Phone:916-698-2622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental