Provider Demographics
NPI:1366757718
Name:AGHERA, AKASH MOHANLAL (DMD)
Entity type:Individual
Prefix:
First Name:AKASH
Middle Name:MOHANLAL
Last Name:AGHERA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17231 WESTMILL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3154
Mailing Address - Country:US
Mailing Address - Phone:704-421-8958
Mailing Address - Fax:
Practice Address - Street 1:16928 LANCASTER HWY UNIT 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2016
Practice Address - Country:US
Practice Address - Phone:980-299-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC69181223G0001X
NC92131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice