Provider Demographics
NPI:1043022254
Name:NIAZI, AYESHA (DDS)
Entity type:Individual
Prefix:DR
First Name:AYESHA
Middle Name:
Last Name:NIAZI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 SUNRIDGE HEIGHTS WAY UNIT 1210
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4680
Mailing Address - Country:US
Mailing Address - Phone:630-432-9231
Mailing Address - Fax:
Practice Address - Street 1:3610 SUNRIDGE HEIGHTS WAY UNIT 1210
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4680
Practice Address - Country:US
Practice Address - Phone:630-432-9231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV81411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice