Individual provider · Type 1 NPI

Nikhilesh Chandra Roy, BDS. MDS FDSRCS

Student in an Organized Health Care Education/Training Program · Grande Praire, CA

NPI number 1487498291 Active · reactivated Dec 1, 2025

Practice location

12702, Lakeshore Drive
Grande Praire, CA T8X8C7

Mailing address

45 Stuart Street, Apartment Number 2705
Boston, MA 02116

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

About NPI 1487498291

Nikhilesh Chandra Roy, BDS. MDS FDSRCS's National Provider Identifier is 1487498291, issued on Jun 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grande Praire, CA. The record was last updated on Dec 1, 2025.