Provider Demographics
NPI:1003796285
Name:DENTISTRY WITH DR M LLC
Entity type:Organization
Organization Name:DENTISTRY WITH DR M LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NIDHI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:262-833-7362
Mailing Address - Street 1:N76W16005 HUNTERS RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-7463
Mailing Address - Country:US
Mailing Address - Phone:262-833-7362
Mailing Address - Fax:
Practice Address - Street 1:N76W16005 HUNTERS RIDGE CIR
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-7463
Practice Address - Country:US
Practice Address - Phone:262-833-7362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental