Provider Demographics
NPI:1902668429
Name:GHORI, NILAM SAVJIBHAI (DMD)
Entity type:Individual
Prefix:
First Name:NILAM
Middle Name:SAVJIBHAI
Last Name:GHORI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 NE MAYNARD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9615
Mailing Address - Country:US
Mailing Address - Phone:196-771-9329
Mailing Address - Fax:
Practice Address - Street 1:120 NE MAYNARD RD STE 200
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-9615
Practice Address - Country:US
Practice Address - Phone:919-677-1932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC139891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice