Provider Demographics
NPI:1801508197
Name:MIHIRGIR BAVA DMD PLLC
Entity type:Organization
Organization Name:MIHIRGIR BAVA DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MIHIRGIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BAVA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-925-8405
Mailing Address - Street 1:217 BEGEN ST
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-9769
Mailing Address - Country:US
Mailing Address - Phone:732-925-8405
Mailing Address - Fax:
Practice Address - Street 1:217 BEGEN ST
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-9769
Practice Address - Country:US
Practice Address - Phone:732-925-8405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty