Provider Demographics
NPI:1356537245
Name:NAIK, DEEPA M (DDS)
Entity type:Individual
Prefix:DR
First Name:DEEPA
Middle Name:M
Last Name:NAIK
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:123 ED SCHMIDT BLVD
Mailing Address - Street 2:#240
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-5585
Mailing Address - Country:US
Mailing Address - Phone:510-417-0606
Mailing Address - Fax:
Practice Address - Street 1:123 ED SCHMIDT BLVD
Practice Address - Street 2:#240
Practice Address - City:HUTO
Practice Address - State:TX
Practice Address - Zip Code:78681
Practice Address - Country:US
Practice Address - Phone:510-417-0606
Practice Address - Fax:512-846-2845
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX257451223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry