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NPI Code Detail

MEDICARE: DR. NISHI BALACHANDRAN NAIR DDS

MEDICARE:  DR. NISHI BALACHANDRAN NAIR  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist14704NC

General Provider Information

NPI Number : 1184556417
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NISHI BALACHANDRAN NAIR DDS
Provider Business Mailing Address
First Line : 126 VINTAGE DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-9411
Country : US
Telephone Number : 919-949-0181
Fax Number :
Provider Business Practice Location Address
First Line : 7841 ALEXANDER PROMENADE PL STE 100
Second Line :
City : RALEIGH
State : NC
Zip : 27617-1914
Country : US
Telephone Number : 919-354-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ DR. NISHI BALACHANDRAN NAIR DDS” Practice Location

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