MS. EKTA DESAI DDS NPI 1801240627

NPI Information

NPI: 1801240627
Provider Name: MS. EKTA DESAI, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
11711 W BURLEIGH ST
WAUWATOSA, WI
ZIP 53222
Phone: (414) 771-2345
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MS. Ekta Desai, DDS is a general practice dentist in Wauwatosa, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MS. Ekta Desai, DDS NPI is 1801240627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11711 W BURLEIGH ST
WAUWATOSA, WI
ZIP 53222-108
Phone: (414) 771-2345

The NPI 1801240627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/18/2016 and was last updated on 10/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		1001318-15	WISCONSIN	No
2	1223G0001X	Dentist	General Practice	1001318	WISCONSIN	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program			WISCONSIN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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