Individual
NEHA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3485 W 10TH ST STE C, GREELEY, CO 80634-5368
(970) 353-4746
(970) 353-4751
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00202338
CO
1223G0001X
General Practice Dentistry
Primary
DEN.00202338
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922422187
—
CO
01
—
DEN00202338
CO DENTAL LICENSE
CO
Enumeration date
02/09/2014
Last updated
03/02/2021
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