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Dr. Nieku Manshadi, DDS
Pediatric Dentist in Austin, Texas
NPI 1649426560

Nieku Manshadi is a Pediatric Dentist based in Austin, TX and is specialized in Pediatric Dentistry. Nieku Manshadi practices in Austin, TX and has the professional credentials of DDS. The NPI Number for Nieku Manshadi is 1649426560 and holds a License No. 56477 (Texas).

The current practice location address for Nieku Manshadi is 8716 Research Blvd, Austin, TX and can be reached out via phone at 512-454-4646.

Location: 8716 Research Blvd, Austin, TX, 78758-6420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649426560
Provider Name
Nieku Manshadi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8716 Research Blvd, Austin, TX, 78758-6420
Phone Number
512-454-4646
Fax Number
Provider Enumeration Date
08/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05154687 05 NY
204782102 05 TX
institution
Provider Business Practice Location Address Details
Address
8716 Research Blvd
City
Austin
State
Texas
Zip
78758-6420
Phone Number
512-454-4646
Fax Number
person
Provider Business Mailing Address Details
Address
8716 Research Blvd
City
Austin
State
Texas
Zip
78758-6420
Phone Number
512-454-4646
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
56477 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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