IndividualActive
Gaurav Malik, DDS
NPI 1437671633 · General Practice Dentistry · Forsyth, IL
Provider details
- NPI number
- 1437671633
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 019031252 (IL)
Specialties & taxonomies
Dental Providers
Practice location
124 E Highland Dr
Forsyth, IL 62535-8906
Phone: (217) 615-0020
Approximate (ZIP-level) locationGet directions
Mailing address
141 Cambridge Blvd Apt No4
Amherst, NY 14226-3056
Registry dates
- Enumerated
- 2017-07-10
- Last updated
- 2017-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.