Provider Demographics
NPI:1730442138
Name:THOMAS, NINA MAHESHWARI (DDS)
Entity type:Individual
Prefix:DR
First Name:NINA
Middle Name:MAHESHWARI
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SAINT ALBANS DR
Mailing Address - Street 2:APT. 510
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6399
Mailing Address - Country:US
Mailing Address - Phone:704-408-5590
Mailing Address - Fax:
Practice Address - Street 1:10207 CERNY ST
Practice Address - Street 2:SUITE 106
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-7878
Practice Address - Country:US
Practice Address - Phone:919-336-2981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9329122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist