Provider Demographics
NPI:1447650858
Name:JINDAL, NILESH CHATURBUJ (DMD)
Entity type:Individual
Prefix:DR
First Name:NILESH
Middle Name:CHATURBUJ
Last Name:JINDAL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 PLEASANT GROVE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5425
Mailing Address - Country:US
Mailing Address - Phone:201-888-7912
Mailing Address - Fax:
Practice Address - Street 1:2201 THOMPSON RD STE 101
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5475
Practice Address - Country:US
Practice Address - Phone:281-242-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34679122300000X
MADN1856735122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist