Provider Demographics
NPI:1992084719
Name:NAGAR, USHMA (DDS)
Entity type:Individual
Prefix:DR
First Name:USHMA
Middle Name:
Last Name:NAGAR
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 1:5620 COMMERCE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4183
Mailing Address - Country:US
Mailing Address - Phone:678-890-2555
Mailing Address - Fax:678-999-4861
Practice Address - Street 1:5620 COMMERCE BLVD STE B
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-4183
Practice Address - Country:US
Practice Address - Phone:678-890-2555
Practice Address - Fax:678-999-4861
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2019-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0143321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice