Individual
DR. MANISHA V DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5 N ROOT ST, SUITE #105, AURORA, IL 60505-3429
(630) 800-1137
(630) 800-1672
Mailing address
5 N. ROOT ST., SUITE #105, AURORA, IL 60505
(630) 800-1137
(630) 800-1672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027969
IL
1223E0200X
Endodontics
019.027969
IL
1223G0001X
General Practice Dentistry
Primary
019.027969
IL
1223P0300X
Periodontics
019.027969
IL
1223P0700X
Prosthodontics
019.027969
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019.027969
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184850661
—
IL
Enumeration date
06/10/2009
Last updated
02/05/2026
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