Niva Dental Specialists Pllc

NPI #1194436634 in Leander, Texas

Provider Information

NPI Number: 1194436634
Entity Type: Organization
Organization Name: Niva Dental Specialists Pllc
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Dec 6, 2022
Last Updated: Dec 6, 2022

Practice Location

Address: 15141 RONALD REAGAN BLVD
Address 2: SUITE 516
City: Leander
State: Texas
ZIP Code: 78641-7864
Phone: (512) 881-8852

Authorized Official

Name: DR. SHOUVIK PONNUSAMY, DMD
Title: OWNER
Phone: (630) 267-1199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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