Provider Demographics
NPI:1841484938
Name:NAKAJI, NORMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:NAKAJI
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 1:2440 STATESVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-7128
Mailing Address - Country:US
Mailing Address - Phone:704-637-0100
Mailing Address - Fax:704-637-0103
Practice Address - Street 1:2440 STATESVILLE BLVD
Practice Address - Street 2:SUITE110
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-7128
Practice Address - Country:US
Practice Address - Phone:704-637-0100
Practice Address - Fax:704-637-0103
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33831223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8996334Medicaid