Provider Demographics
NPI:1104990464
Name:NAIK, SHEILA G (DDS)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:G
Last Name:NAIK
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 1:20325 N 51ST AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-4610
Mailing Address - Country:US
Mailing Address - Phone:623-566-8011
Mailing Address - Fax:623-566-8099
Practice Address - Street 1:20325 N 51ST AVE STE 140
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-4610
Practice Address - Country:US
Practice Address - Phone:623-566-8011
Practice Address - Fax:623-566-8099
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ45491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
177940296OtherADA