Provider Demographics
NPI:1962413658
Name:SAXENA, HIMI (DDS)
Entity type:Individual
Prefix:
First Name:HIMI
Middle Name:
Last Name:SAXENA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2903 PROFESSIONAL PARK DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215
Mailing Address - Country:US
Mailing Address - Phone:336-229-1444
Mailing Address - Fax:336-222-8180
Practice Address - Street 1:2903 PROFESSIONAL PARK RD
Practice Address - Street 2:SUITE A
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9388
Practice Address - Country:US
Practice Address - Phone:336-229-1444
Practice Address - Fax:336-222-8180
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC68751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice