Provider Demographics
NPI:1114764651
Name:SHIKHA BHATNAGAR DMD PLC
Entity type:Organization
Organization Name:SHIKHA BHATNAGAR DMD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATNAGAR-BATRA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:248-362-1100
Mailing Address - Street 1:3960 CROOKS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-1791
Mailing Address - Country:US
Mailing Address - Phone:248-362-1100
Mailing Address - Fax:
Practice Address - Street 1:3960 CROOKS RD STE 100
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-1791
Practice Address - Country:US
Practice Address - Phone:248-362-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty