1184090755 NPI number — DR. NEHA SATYANARAYAN TAORI D.D.S

Table of content: DR. NEHA SATYANARAYAN TAORI D.D.S (NPI 1184090755)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184090755 NPI number — DR. NEHA SATYANARAYAN TAORI D.D.S

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAORI
Provider First Name:
NEHA
Provider Middle Name:
SATYANARAYAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184090755
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5527 ARDEN MILL DRIVE
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
FORT MILL
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-650-6424
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5527 ARDEN MILL DRIVE
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
FORT MILL
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-650-6424
Provider Business Practice Location Address Fax Number:
803-650-6445
Provider Enumeration Date:
08/18/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  DGD.8635GD , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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