Individual
BHAVIK S. DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, PHD
Contact information
Practice address
8405 W FOREST HOME AVE, GREENFIELD, WI 53228-3407
(443) 255-8743
Mailing address
6722 S TUMBLE CREEK DR, FRANKLIN, WI 53132-8725
(443) 255-8743
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413562
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1002220-15
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN015544
GA
125Q00000X
Oral Medicine Dentistry
DN1857012
MA
Other
Enumeration date
05/05/2010
Last updated
06/18/2025
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