Individual
NISHA J D'SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-6933
(734) 764-2469
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901017792
MI
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2901017792
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2901017792
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19009265
MEDICARE RAILROAD
MI
01
—
1958162970
BCBS OF MI MED SURGICAL
MI
05
—
4165789
—
MI
05
—
4873706
—
MI
01
—
D017792
BCBS OF MI DENTAL
MI
Enumeration date
03/19/2007
Last updated
01/29/2020
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