MEDICARE: GANESH DENTAL, P.C.

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
1	1223D0001X	Public Health Dentistry
2	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1841697638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GANESH DENTAL, P.C.

Provider Business Mailing Address
First Line	:	590 E NORTH AVE
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 E NORTH AVENUE
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-2128
Country	:	US
Telephone Number	:	203-895-3594
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. MANISHA DESAI
Credential	:	D.M.D
Telephone Number	:	203-362-9987

Provider Enumeration Date	:	11/24/2014
Last Update Date	:	03/10/2026

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Directions to “GANESH DENTAL, P.C. ” Practice Location

Language	Start Address	Practice Location

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