Provider Demographics
NPI:1366242232
Name:DESAI, NEAL ARVIND (DDS)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:ARVIND
Last Name:DESAI
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 1:2326 PATRICK LN
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1397
Mailing Address - Country:US
Mailing Address - Phone:262-366-1785
Mailing Address - Fax:
Practice Address - Street 1:7020 W NATIONAL AVE STE 100
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-4843
Practice Address - Country:US
Practice Address - Phone:414-475-0588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001795-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist