Desai, Manisha V

Desai, Manisha V is an sole proprietor health care provider with primary practice located at 5 N Root St Suite #105, Aurora IL 60505-3429. She recently has 5 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Periodontics, Dental Providers / Prosthodontics. Dental Providers / General Practice is her primary health care specialty. Desai, Manisha V can be contacted via phone (630) 800-1137.

Contact Information

Primary practice address
5 N Root St Suite #105 Aurora IL 60505-3429
Phone: (630) 800-1137
Fax: (630) 800-1672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.027969 Illinois
Dental Providers / Endodontics 1223E0200X 019.027969 Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 019.027969 Illinois
Dental Providers / Periodontics 1223P0300X 019.027969 Illinois
Dental Providers / Prosthodontics 1223P0700X 019.027969 Illinois

Profile Details

NPI number 1184850661
LBN Legal business name Desai, Manisha V
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2009
Last updated Dec 20th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184850661 NPPES
Illinois MEDICAID 1184850661

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