Provider Demographics
NPI:1225737380
Name:KALLA, NIKHIL (DDS)
Entity type:Individual
Prefix:DR
First Name:NIKHIL
Middle Name:
Last Name:KALLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 OAK CREEK WAY APT 3309
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7690
Mailing Address - Country:US
Mailing Address - Phone:325-660-5474
Mailing Address - Fax:
Practice Address - Street 1:237 FM 306 STE 103
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7462
Practice Address - Country:US
Practice Address - Phone:830-312-4193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41547122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist