Nikisha N. Jodhan, DDS

Dentist · Maywood, IL

Individual Active NPI

NPI number 1184816530

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000

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NPI record

NPI
1184816530
Entity type
Individual (Type 1)
Enumeration date
August 9, 2007
Last updated
May 7, 2021
Certified
May 7, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019028166 IL

About Dr. Jodhan

Nikisha N. Jodhan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2160 S 1st Ave, Maywood, IL 60153-3328. The NPI number 1184816530 was assigned on August 9, 2007 and the record was last updated on May 7, 2021.

Dr. Jodhan lists a license in the registry: #019028166 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nikisha N. Jodhan, DDS?

The NPI number is 1184816530.

What is the phone number of Dr. Jodhan?

The phone number listed for the practice location is (708) 216-9000.

Where is Dr. Jodhan located?

2160 S 1st Ave, Maywood, IL 60153-3328.

What is the taxonomy code for Dr. Jodhan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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