Provider Demographics
NPI:1215611660
Name:TEJANI, NISHIT (DDS)
Entity type:Individual
Prefix:DR
First Name:NISHIT
Middle Name:
Last Name:TEJANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 STONINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7509
Mailing Address - Country:US
Mailing Address - Phone:469-982-8521
Mailing Address - Fax:
Practice Address - Street 1:3630 SW 45TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-5689
Practice Address - Country:US
Practice Address - Phone:806-223-2886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39662122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist