Provider Demographics
NPI:1932339652
Name:MEERA NARSIMHAN DDS INC
Entity type:Organization
Organization Name:MEERA NARSIMHAN DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:MEERA
Authorized Official - Middle Name:
Authorized Official - Last Name:NARSIMHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-221-1577
Mailing Address - Street 1:496 W ARMY TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-9366
Mailing Address - Country:US
Mailing Address - Phone:630-221-1577
Mailing Address - Fax:630-221-1567
Practice Address - Street 1:496 W ARMY TRAIL RD
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-9366
Practice Address - Country:US
Practice Address - Phone:630-221-1577
Practice Address - Fax:630-221-1567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019026826122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty