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Contact Information

NISHA MEHTA, DDS
1649 W CORTLAND ST
CHICAGO, IL60622-8974
 Phone: 574-707-3359
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for NISHA MEHTA · (Female)

NPI # 1255644274
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/19/2010
Last updated 11/16/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 019028352
  • IL License # 021002599
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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