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Contact Information

ADITYA DESAI, DDS
4017 N PRINCE ST
CLOVIS, NM88101-9705
 Phone: 888-988-4066
 Fax: 847-496-4850
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADITYA DESAI · (Male)

NPI # 1740666536
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/04/2015
Last updated 01/14/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # DD4374
  • TX License # 36819
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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