Provider Demographics
NPI:1144967795
Name:MAHESHWARI, NISHA (DMD)
Entity type:Individual
Prefix:DR
First Name:NISHA
Middle Name:
Last Name:MAHESHWARI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 CLAYMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1712
Mailing Address - Country:US
Mailing Address - Phone:216-849-3478
Mailing Address - Fax:
Practice Address - Street 1:6303 CENTER ST
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-2467
Practice Address - Country:US
Practice Address - Phone:440-951-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.026832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist