Provider Demographics
NPI:1679094924
Name:DHANANI DENTISTRY PLLC
Entity type:Organization
Organization Name:DHANANI DENTISTRY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:TEJAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DHANANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-920-6343
Mailing Address - Street 1:5160 FRANZ RD STE 1B
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1763
Mailing Address - Country:US
Mailing Address - Phone:713-690-3368
Mailing Address - Fax:
Practice Address - Street 1:5160 FRANZ RD STE 1B
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1763
Practice Address - Country:US
Practice Address - Phone:713-690-3368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX292921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty