Provider Demographics
NPI:1548091523
Name:VERMA, LAKSHAY (DDS)
Entity type:Individual
Prefix:
First Name:LAKSHAY
Middle Name:
Last Name:VERMA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5113 GOLD CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-5078
Mailing Address - Country:US
Mailing Address - Phone:661-380-8526
Mailing Address - Fax:
Practice Address - Street 1:10525 S EASTERN AVE STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3971
Practice Address - Country:US
Practice Address - Phone:702-508-0906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110396122300000X
NV8092122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist