Provider Demographics
NPI:1063818706
Name:BAKSHI, RACHNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHNA
Middle Name:
Last Name:BAKSHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 NICHOLSON RD
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8508
Mailing Address - Country:US
Mailing Address - Phone:612-598-6811
Mailing Address - Fax:412-366-5874
Practice Address - Street 1:2415 NICHOLSON RD
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-8508
Practice Address - Country:US
Practice Address - Phone:412-364-5252
Practice Address - Fax:412-366-5874
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-07
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0401631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice